Malczak, Henryk T

Malczak, Henryk T is an individual health care provider with primary practice located at 550 Pope Ave Nw Ste 200 , Winter Haven FL 33881-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Malczak, Henryk T can be contacted via phone (863) 299-2630.

Contact Information

Primary practice address
550 Pope Ave Nw Ste 200 Winter Haven FL 33881-4679
Phone: (863) 299-2630
Fax: (407) 285-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS6110 Florida

Profile Details

NPI number 1912008145
LBN Legal business name Malczak, Henryk T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 17th, 2024 - about 6 months 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 1912008145 NPPES
Florida Other OS6110 FLORIDA OSTEOPATHIC LICEN

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