Malle, Michael Phillip

Malle, Michael Phillip is an individual health care provider with primary practice located at 5975 North Federal Highway Suite 244, Fort Lauderdale FL 33308-2652. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Malle, Michael Phillip can be contacted via phone (954) 491-7606.

Contact Information

Primary practice address
5975 North Federal Highway Suite 244 Fort Lauderdale FL 33308-2652
Phone: (954) 491-7606
Fax: (954) 491-8238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0018174 Florida

Profile Details

NPI number 1194828228
LBN Legal business name Malle, Michael Phillip
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
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 1194828228 NPPES
Florida Other C6627 BCBS

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