Provider Demographics
NPI:1861004277
Name:STEVE MALOSKY MD LLC
Entity Type:Organization
Organization Name:STEVE MALOSKY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-872-6970
Mailing Address - Street 1:900 SW SAINT LUCIE CRES
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2842
Mailing Address - Country:US
Mailing Address - Phone:772-486-1675
Mailing Address - Fax:
Practice Address - Street 1:900 SW SAINT LUCIE CRES
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2842
Practice Address - Country:US
Practice Address - Phone:772-486-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME120144OtherSTATE MEDICAL LICENSE