Malis, David Joel

Malis, David Joel is an individual health care provider with primary practice located at 1499 S Harbor City Blvd Suite 303, Melbourne FL 32901-3245. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Malis, David Joel can be contacted via phone (321) 254-5437.

Contact Information

Primary practice address
1499 S Harbor City Blvd Suite 303 Melbourne FL 32901-3245
Phone: (321) 254-5437
Fax: (321) 254-4543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME90348 Florida
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X ME90348 Florida

Profile Details

NPI number 1649242538
LBN Legal business name Malis, David Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Sep 15th, 2011 - about 14 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 1649242538 NPPES
Florida Other 2067385 CIGNA
Florida Other G98130 CIGNA
Florida Other 2258392 CIGNA
Florida Other 332181 CIGNA
Florida Other 48443 CIGNA
Florida Other 01269821 CIGNA
Florida MEDICAID 271247400 CIGNA
Florida Other 6774268 CIGNA

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