Healthcare Provider Details

I. General information

NPI: 1841119658
Provider Name (Legal Business Name): MALACHI MOSES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N PINEWOOD AVE
BRANDON FL
33510-4633
US

IV. Provider business mailing address

124 N PINEWOOD AVE
BRANDON FL
33510-4633
US

V. Phone/Fax

Practice location:
  • Phone: 656-251-2353
  • Fax:
Mailing address:
  • Phone: 656-251-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number241636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: