NPI | 1396925111 |
---|---|
Former Legal Business Name | RICHARD B MALKIN MD |
Entity Type | Organization |
Authorized Contact | DEBORAH A BARONE Administrative Assistant/Manager 941-955-1036 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME23173) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2007-11-08 |