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NPI Code Detail

MEDICARE: INNA MALKIN CRNA

MEDICARE:   INNA  MALKIN  CRNA
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
1367500000XCertified Registered Nurse Anesthetist9249802FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366709859
Entity Type Code : Individual
Provider Name (Legal Business Name) : INNA MALKIN CRNA
Provider Business Mailing Address
First Line : 956 TILLERY WAY
Second Line : NONE
City : ORLANDO
State : FL
Zip : 32828-9150
Country : US
Telephone Number : 407-432-0290
Fax Number :
Provider Business Practice Location Address
First Line : 7111 FAIRWAY DR
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-4204
Country : US
Telephone Number : 561-799-3552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2012
Last Update Date : 04/20/2012

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