MEDICARE: ALEXANDER NICHOLAS MALTESE MD, MPH

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1245933324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER NICHOLAS MALTESE MD, MPH

Provider Business Mailing Address
First Line	:	9330 SR-54 E
Second Line	:	A BUILDING; SUITE 210
City	:	TRINITY
State	:	FL
Zip	:	34655
Country	:	US
Telephone Number	:	727-834-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9330 SR-54 E
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655
Country	:	US
Telephone Number	:	727-834-4000
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	12/19/2025

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