Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH4618 | FL |
N | 207R00000X | Internist | CH4618 | FL |
N | 111NI0900X | Internist | CH4618 | FL |
N | 111NN1001X | Nutrition | CH4618 | FL |
NPI | 1144427642 |
---|---|
Provider Name | Dr. Nadia R. S. Malek |
First Address | Greenacres, FL 33463-3044 |
Second Address | Greenacres, FL 33463-3044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 06/02/2019 |