MEDICARE: DR. BRITTANY MALAGON M.D.

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
2	207P00000X	Emergency Medicine Physician	ME140228	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1942506589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY MALAGON M.D.

Provider Business Mailing Address
First Line	:	101 W BEACH PL APT 1608
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2665
Country	:	US
Telephone Number	:	813-932-2222
Fax Number	:

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

Provider Enumeration Date	:	01/30/2011
Last Update Date	:	09/24/2019

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