Individual
FUAD MALKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4639 SUNRAY DR, HOLIDAY, FL 34690-3807
(727) 942-2577
Mailing address
4639 SUNRAY DR, HOLIDAY, FL 34690-3807
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16990
FL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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