Individual
SUSAN MALCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
10701 SW 58TH AVE, MIAMI, FL 33156-4113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND0667
FL
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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