Malavenda, Paul

Malavenda, Paul is an sole proprietor health care provider with primary practice located at 4138 Sw 16Th Ter , Miami FL 33134-3867. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician, Chiropractic Providers / Thermography. Chiropractic Providers / Chiropractor is his primary health care specialty. Malavenda, Paul can be contacted via phone (305) 443-1103.

Contact Information

Primary practice address
4138 Sw 16Th Ter Miami FL 33134-3867
Phone: (305) 443-1103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5656 Florida
Chiropractic Providers / Sports Physician 111NS0005X 5656 Florida
Chiropractic Providers / Thermography 111NT0100X 5656 Florida

Profile Details

NPI number 1164629408
LBN Legal business name Malavenda, Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164629408 NPPES
Florida MEDICAID 050238300

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