Provider Demographics
NPI:1518462605
Name:KIRSCHENBAUM, MALKA DAVINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALKA
Middle Name:DAVINA
Last Name:KIRSCHENBAUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2100 NE 36TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7574
Mailing Address - Country:US
Mailing Address - Phone:954-786-5353
Mailing Address - Fax:954-786-5340
Practice Address - Street 1:2100 NE 36TH ST STE 102
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7574
Practice Address - Country:US
Practice Address - Phone:954-786-5353
Practice Address - Fax:954-786-5340
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT12624111-1205207W00000X
CODR.0070854207WX0120X
FLME167922207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology