Malias, Mark A

Malias, Mark A is an individual health care provider with primary practice located at 2100 Nebraska Ave Ste 201 , Fort Pierce FL 34950-4832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Malias, Mark A can be contacted via phone (772) 465-8100.

Contact Information

Primary practice address
2100 Nebraska Ave Ste 201 Fort Pierce FL 34950-4832
Phone: (772) 465-8100
Fax: (772) 465-8689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME69913 Florida

Profile Details

NPI number 1912993296
LBN Legal business name Malias, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Oct 12th, 2022 - about 3 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 1912993296 NPPES
Florida MEDICAID 250870200
Florida Other 28904

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