Individual
DAVID ALLAN MALKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
733 NW 23RD ST, WILTON MANORS, FL 33311-3743
(954) 661-7495
(954) 553-0225
Mailing address
733 NW 23RD ST, WILTON MANORS, FL 33311-3743
(954) 661-7495
(954) 553-0225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0081428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260287300
—
FL
Enumeration date
05/11/2006
Last updated
05/14/2008
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