Provider Demographics
NPI:1114492493
Name:LLOYD MALINER, MD PA
Entity Type:Organization
Organization Name:LLOYD MALINER, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-862-7099
Mailing Address - Street 1:301 NW 84TH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1807
Mailing Address - Country:US
Mailing Address - Phone:954-862-7099
Mailing Address - Fax:954-862-7296
Practice Address - Street 1:301 NW 84TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1807
Practice Address - Country:US
Practice Address - Phone:954-862-7099
Practice Address - Fax:954-862-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty