Organization
MARCUS MALONE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS MALONE MD (OWNER/PHYSICIAN)
(772) 581-3990
Entity
Organization
Contact information
Practice address
1715 37TH PL, SUITE #200, VERO BEACH, FL 32960-4502
(772) 581-3990
(772) 581-3991
Mailing address
9611 N US HIGHWAY 1, SUITE #166, SEBASTIAN, FL 32958-6363
(772) 581-3990
(772) 581-3991
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME99007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME99007
STATE LICENSE
FL
Enumeration date
09/22/2015
Last updated
09/22/2015
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