Provider Demographics
NPI:1700233574
Name:MALECEK, STEVEN (RRT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:MALECEK
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CHERRY VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6165
Mailing Address - Country:US
Mailing Address - Phone:407-384-8268
Mailing Address - Fax:
Practice Address - Street 1:920 CHERRY VALLEY WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6165
Practice Address - Country:US
Practice Address - Phone:407-384-8268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT2249227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered