David Maletzke, RN
Registered Nurse in Melbourne, FL. Individual provider (NPI-1).
NPI number1124774591
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1124774591
- Entity type
- Individual (NPI-1)
- Name
- David Maletzke
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2022
- Certification date
- Feb 24, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 9361493 | FL | Yes |
Practice location
8745 N Wickham RdMelbourne, FL 32940-5997
Phone 321-434-9390
Mailing address
106 Eden AveSatellite Bch, FL 32937-2112
Phone 321-213-8379
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