MEDICARE: DR. LARISA MALYKH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME79246	FL

General Provider Information

NPI Number	:	1134191539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARISA MALYKH MD

Provider Business Mailing Address
First Line	:	6100 SAINT JOHNS AVE
Second Line	:	SUTE 4(D)
City	:	PALATKA
State	:	FL
Zip	:	32177-3844
Country	:	US
Telephone Number	:	386-329-3939
Fax Number	:	386-329-8990

Provider Business Practice Location Address
First Line	:	6100 SAINT JOHNS AVE
Second Line	:	SUITE 4(D)
City	:	PALATKA
State	:	FL
Zip	:	32177-3844
Country	:	US
Telephone Number	:	386-329-3939
Fax Number	:	386-329-8990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	03/26/2012

Similar Medicare Providers

1922863125 — PEOPLEONE HEALTH FLORIDA, LLC
Practice Location Address:

6100 SAINT JOHNS AVE UNIT 4-5
PALATKA, FL
32177-3844

Practice Phone: 800-330-6891
Practice Fax:

1962701722 — INDIVIDUALIZED MEDICINE, LLC
Practice Location Address:

6100 SAINT JOHNS AVE , SUITE 4(D)
PALATKA, FL
32177-3844

Practice Phone: 386-329-3939
Practice Fax: 386-329-8990

1689942047 — JACK H SOLIMAN MD PA
Practice Location Address:

6100 SAINT JOHNS AVE , SUITE 1
PALATKA, FL
32177-3844

Practice Phone: 386-328-1117
Practice Fax: 386-328-0533

1023013729 — PUTNAM COUNTY ALCOHOL & DRUG COUNCIL, INC.
Practice Location Address:

330 KAY LARKIN DR
PALATKA, FL
32177-2307

Practice Phone: 386-329-3780
Practice Fax: 386-385-1269

1134124969 — ALLAIN A GIROUARD MD
Practice Location Address:

6061 ST JOHNS AVENUE, SUITE 1
PALATKA, FL
32177

Practice Phone: 386-530-2953
Practice Fax: 386-385-3597

1639175235 — HOLLY A SHEETS DPM PA
Practice Location Address:

800 ZEAGLER DR , STE 510
PALATKA, FL
32177-3867

Practice Phone: 386-326-3553
Practice Fax: 386-326-3919

Directions to “ DR. LARISA MALYKH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.