Organization
MALIK SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MALIK DO (OWNER PHYSICAN)
(305) 761-6850
Entity
Organization
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL 33179-4747
(305) 902-1663
(305) 901-6238
Mailing address
1380 NE MIAMI GARDENS DR STE 155, NORTH MIAMI BEACH, FL 33179-4747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121919100
—
FL
01
—
M82MP
BCBS
FL
Enumeration date
01/15/2024
Last updated
04/03/2025
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