MEDICARE: DR. JEAM MARIE MALECKI M.D.,M.P.H.

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	2083P0901X	Public Health & General Preventive Medicine Physician	ME 37832	FL

General Provider Information

NPI Number	:	1700811452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAM MARIE MALECKI M.D.,M.P.H.

Provider Business Mailing Address
First Line	:	826 EVERNIA ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5708
Country	:	US
Telephone Number	:	561-355-3120
Fax Number	:	561-355-3120

Provider Business Practice Location Address
First Line	:	826 EVERNIA ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5708
Country	:	US
Telephone Number	:	561-355-3120
Fax Number	:	561-355-3120

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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