| Vance J Maloney Iii Md Pa | |
|
1315 Hickory Dr Longwood FL 32779-5844 | |
| (407) 701-0012 | |
| Not Available |
| Full Name | Vance J Maloney Iii Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1315 Hickory Dr, Longwood, Florida |
| Authorized Official Name and Position | Vance J Maloney (OWNER) |
| Authorized Official Contact | 4077010012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance J Maloney Iii Md Pa 1315 Hickory Dr Longwood FL 32779-5844 Ph: (407) 701-0012 | Vance J Maloney Iii Md Pa 1315 Hickory Dr Longwood FL 32779-5844 Ph: (407) 701-0012 |
| NPI Number | 1144402199 |
|---|---|
| Provider Enumeration Date | 12/01/2007 |
| Last Update Date | 11/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144402199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 24866 (Florida) | Primary |
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