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General NPI Number Information
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NPI Number | 1558532275
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Entity Type | Individual
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Provider Name | JONATHAN M MALKA MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1728 NE MIAMI GARDENS DR STE 3242
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-5301
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Country | US
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Telephone | 305-741-5055
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Fax | 305-317-5239
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Provider Business Mailing Address
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Address Line | 1728 NE MIAMI GARDENS DR STE 3242
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-5301
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Country | US
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Telephone | 305-741-5055
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Fax | 305-488-5517
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | ME107408
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME107408
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License Number State | FL
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