Individual
DR. HENRYK T MALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
550 POPE AVE NW STE 200, WINTER HAVEN, FL 33881-4679
(863) 299-2630
(407) 285-4515
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS6110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS6110
FLORIDA OSTEOPATHIC LICEN
FL
Enumeration date
09/26/2006
Last updated
05/17/2024
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