Provider Demographics
NPI:1700811452
Name:MALECKI, JEAM MARIE (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:JEAM
Middle Name:MARIE
Last Name:MALECKI
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 EVERNIA ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5708
Mailing Address - Country:US
Mailing Address - Phone:561-355-3120
Mailing Address - Fax:561-355-3120
Practice Address - Street 1:826 EVERNIA ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5708
Practice Address - Country:US
Practice Address - Phone:561-355-3120
Practice Address - Fax:561-355-3120
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 378322083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD65238Medicare UPIN
FL61487YMedicare ID - Type Unspecified