Individual
DR. MARK A MALIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 NEBRASKA AVE STE 201, FORT PIERCE, FL 34950-4832
(772) 465-8100
(772) 465-8689
Mailing address
2100 NEBRASKA AVE STE 201, FORT PIERCE, FL 34950-4832
(772) 465-8100
(772) 465-8689
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME69913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250870200
—
FL
01
—
28904
INDIVIDUAL BCBS
FL
Enumeration date
09/22/2005
Last updated
10/12/2022
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