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NPI Code Detail

MEDICARE: NICK MALATESTA

MEDICARE: NICK MALATESTA
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
1237700000XHearing Instrument SpecialistAS3789FL

General Provider Information

NPI Number : 1730741695
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICK MALATESTA
Provider Business Mailing Address
First Line : 1240 ROYAL PALM BEACH BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1240 ROYAL PALM BEACH BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1602
Country : US
Telephone Number : 561-705-1012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 07/01/2019

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Directions to “ NICK MALATESTA ” Practice Location

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