Root, Malcolm
Root, Malcolm is an individual health care provider with primary practice located at 1209 W Swann Ave , Tampa FL 33606-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Root, Malcolm can be contacted via phone (813) 253-3007.Contact Information
Primary practice address
1209 W Swann Ave
Tampa FL 33606-2639
Phone: (813) 253-3007
Fax: (813) 253-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME 60118 | Florida |
Profile Details
| NPI number | 1578509089 |
|---|---|
| LBN Legal business name | Root, Malcolm |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jan 20th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578509089 | NPPES |
| Florida | MEDICAID | 376662400 |
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