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NPI Code Detail

MEDICARE: ERIC MALZ APN

MEDICARE: ERIC MALZ APN
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1609703677
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC MALZ APN
Provider Business Mailing Address
First Line : 2683 IRMA LAKE DR
Second Line : WEST PALM BEACH
City : WEST PALM BEACH
State : FL
Zip : 33411-5735
Country : US
Telephone Number : 561-289-7816
Fax Number : 551-804-1618
Provider Business Practice Location Address
First Line : 2683 IRMA LAKE DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-5735
Country : US
Telephone Number : 561-289-7816
Fax Number : 551-804-1618
Authorized Official
Title or Position : PSYCHIATRIC NURSE PRACTITIONER
Name : MR. ERIC MALZ
Credential : PMHNP-BC
Telephone Number : 551-804-1618
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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