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

MALGORZATA PTAK

Active Sole Proprietor

MALGORZATA PTAK is a Assisted Living Facility healthcare provider located in PORT ORANGE, Florida. NPI 1295299451 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PORT ORANGE, FL

Registration Details

NPI Number
1295299451
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2019 (7.5516797205483 yrs)
Last Updated
Jan 22, 2019
License
AL5650 (FL)
Sole Proprietor
Yes

Practice Information

Address
158 FARMBROOK RD
PORT ORANGE, FL, 321276243
Browse FL providers · Browse ZIP 32127
Phone
3867671613
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in PORT ORANGE, FL

Name Credential NPI
YOHANNES FISSIHA 1295346690
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.