Provider Demographics
NPI:1164253787
Name:MALIN, MATTHEW S (BSN, RN, EMT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:MALIN
Suffix:
Gender:M
Credentials:BSN, RN, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8794 BOYNTON BEACH BLVD STE 216
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4469
Mailing Address - Country:US
Mailing Address - Phone:954-756-5262
Mailing Address - Fax:
Practice Address - Street 1:8794 BOYNTON BEACH BLVD STE 216
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4469
Practice Address - Country:US
Practice Address - Phone:954-756-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9562578163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy