Provider Demographics
NPI:1295077238
Name:JOEL, MALEA (DC)
Entity type:Individual
Prefix:DR
First Name:MALEA
Middle Name:
Last Name:JOEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100460 OVERSEAS HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100460 OVERSEAS HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2547
Practice Address - Country:US
Practice Address - Phone:305-453-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor