Provider Demographics
NPI:1467603183
Name:GEORGE, MALIKA (MD)
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 DOYLE RD STE 306
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8267
Mailing Address - Country:US
Mailing Address - Phone:386-917-7637
Mailing Address - Fax:386-574-9654
Practice Address - Street 1:915 DOYLE RD STE 306
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8267
Practice Address - Country:US
Practice Address - Phone:386-917-7637
Practice Address - Fax:386-574-9654
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108620207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine