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Individual

DR. STEPHEN MALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4678 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4624
(561) 689-1414
(561) 689-1993
Mailing address
4678 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4624
(561) 689-1414
(561) 689-1993

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO780
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041082900
FL
Enumeration date
08/11/2005
Last updated
08/10/2011
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