Dr Kelly Maloch, DO | |
1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | |
(772) 521-2453 | |
Not Available |
Full Name | Dr Kelly Maloch |
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Gender | Female |
Speciality | Anesthesiology |
Location | 1800 Se Tiffany Ave, Port Saint Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033563895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS19631 (Florida) | Primary |
Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
Mailing Address | Practice Location Address |
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Dr Kelly Maloch, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 521-2453 | Dr Kelly Maloch, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 521-2453 |
Edward Bevier Spellerberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
Dr. Carlos Cesar Lassalle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8312 Belfry Pl, Port Saint Lucie, FL 34986 Phone: 305-494-3811 | |
Maurice Winnick, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Bylsma Lea Allen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 |