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Malaika Stephanie Joseph

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7620 Lake Underhill Rd, Orlando, FL 32822-8223

PECOS Enrollment

This provider is enrolled in PECOS as MALAIKA JOSEPH.

Based on the most recent information from CMS, provider Malaika Stephanie Joseph is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1033678719
Provider Type
Individual
Full Name
Joseph, Malaika Stephanie
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/13/2019
Last Updated
3/13/2019

Contact Information

Practice Location

7620 Lake Underhill Rd, Orlando, FL 32822-8223

(321) 235-0692

Unlisted Fax

Mailing Location

9163 Baton Rouge Dr, Orlando, FL 32818-9054

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11000329 Florida

Malaika Stephanie Joseph

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Caballero, Heidy

Sayeed, Haris Mohammed

Signorelli, Stephanie Louise

Newton, Lisa

Young, Rebecca A

Keeler, Dana

Fombellida Martinez, Jussep Orlando

Carnemolla, Miriam C

Cardona, Ashley Laren

Bertot, Kimberly