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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REO MALACHI PENISTON, M.D.

Active

REO MALACHI PENISTON, M.D. is a Family Medicine healthcare provider located in GROVELAND, Florida. NPI 1093974511 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GROVELAND, FL

Registration Details

NPI Number
1093974511
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2008 (18.038269893228 yrs)
Last Updated
Jan 26, 2021
License
264985-1 (NY)

Practice Information

Address
1296 W BROAD ST
GROVELAND, FL, 347362012
Browse FL providers · Browse ZIP 34736
Phone
4079058827
Fax
3524295606
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GROVELAND, FL

Name Credential NPI
NELIA D D'HOSTE MD 1891754073
DR. SHEA ANN HUMPHREY DO 1174543565
DR. HAFUSAT ABOSEDE ONI DO 1558452417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.