STEVEN E. MALY NP NPI 1639216369

NPI Information

  • NPI: 1639216369
  • Provider Name: STEVEN E. MALY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3901 UNIVERSITY BLVD S
    SUITE 103
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 345-7373

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NPI Details

Steven E. Maly, NP is a family nurse practitioner in Jacksonville, FL. Steven E. Maly, NP NPI is 1639216369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3901 UNIVERSITY BLVD S
SUITE 103
JACKSONVILLE, FL
ZIP 32216-312
Phone: (904) 345-7373
Fax: (904) 345-7372

The NPI 1639216369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 1/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyARNP3301752FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P84923MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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