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David Joel Malis, MD
Otolaryngology/Facial Plastic Surgery Physician in Melbourne, Florida
NPI 1649242538

David Joel Malis is a Otolaryngology/Facial Plastic Surgery Physician based in Melbourne, FL and is specialized in Otolaryngology/Facial Plastic Surgery. David Joel Malis practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for David Joel Malis is 1649242538 and holds a License No. ME90348 (Florida).

The current practice location address for David Joel Malis is 1499 S Harbor City Blvd, Melbourne, FL and can be reached out via phone at 321-254-5437 and via fax at 321-254-4543. You can also correspond with David Joel Malis through the mailing address at 1499 S HARBOR CITY BLVD, MELBOURNE, FL - 32901-3245 (mailing address contact number: 321-254-5437).

Location: 1499 S Harbor City Blvd, Melbourne, FL, 32901-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649242538
Provider Name
David Joel Malis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1499 S Harbor City Blvd, Melbourne, FL, 32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2067385 01 FL CIGNA
G98130 01 FL TRICARE SOUTH (HUMANA)
2258392 01 FL MEDICAID HMO - UNITED HEALTH CARE
332181 01 FL MEDICAID HMO - WELLCARE
48443 01 FL BCBS
01269821 01 FL MEDICAID HMO - AMERIGROUP
271247400 05 FL
6774268 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
1499 S Harbor City Blvd
City
Melbourne
State
Florida
Zip
32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
person
Provider Business Mailing Address Details
Address
1499 S Harbor City Blvd
City
Melbourne
State
Florida
Zip
32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
207YP0228X
License No.
ME90348 (Florida)
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
ME90348 (Florida)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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