Provider Demographics
NPI:1255336863
Name:MALINER, LLOYD IAN (MD)
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:IAN
Last Name:MALINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 565338
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-5338
Mailing Address - Country:US
Mailing Address - Phone:954-862-7099
Mailing Address - Fax:954-577-1931
Practice Address - Street 1:301 NW 84TH AVE
Practice Address - Street 2:SUITE# 206
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:954-577-1931
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME65773207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42796XMedicare ID - Type Unspecified
FLG65695Medicare UPIN