Dr Henryk T Malczak, DO | |
550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 | |
(863) 299-2630 | |
(407) 285-4515 |
Full Name | Dr Henryk T Malczak |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 550 Pope Ave Nw Ste 200, Winter Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912008145 | NPI | - | NPPES |
OS6110 | Other | FL | FLORIDA OSTEOPATHIC LICEN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | OS6110 (Florida) | Primary |
Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
Entity Name | Trinity Medical Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225652878 PECOS PAC ID: 9234554643 Enrollment ID: O20200803000585 |
Mailing Address | Practice Location Address |
---|---|
Dr Henryk T Malczak, DO 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (321) 332-6947 | Dr Henryk T Malczak, DO 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 Ph: (863) 299-2630 |
Dr. Francin Jean Baptiste, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 866-234-8534 | |
Dr. Betina P. Laiolo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7599 Cypress Gardens Blvd, Winter Haven, FL 33884 Phone: 863-324-4725 Fax: 863-324-4783 | |
Dr. Betsy Negron, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 199 Avenue K Se, Winter Haven, FL 33880 Phone: 407-520-3588 Fax: 407-483-5844 | |
Dr. Xiomara Quinones Vargas, MD General Practice Medicare: Medicare Enrolled Practice Location: 2791 L:ake Alfred Rd, Winter Haven, FL 33881 Phone: 863-291-4590 Fax: 863-508-6503 | |
Enrique Verges-bonet, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 205 1st St S, Winter Haven, FL 33880 Phone: 863-821-0021 Fax: 844-602-4621 | |
Dr. Liem That Ton, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 325 1st St N, Winter Haven, FL 33881 Phone: 863-293-1191 | |
Ms. Nicole A. Domenech, MD. General Practice Medicare: Medicare Enrolled Practice Location: 950 First St. South, Winter Haven, FL 33880 Phone: 863-295-5604 Fax: 863-295-5398 |