JACK MALAFRONTE (NPI# 1194209205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194209205 |
| Entity Type | Individual |
| Full Name | JACK MALAFRONTE |
| Credential | PT, DPT, ATC |
| Practice Address |
2221 S Dale Mabry Hwy Tampa FL 33629-6313 |
| Mailing Address |
4811 Bayshore Blvd Unit 101 Tampa FL 33611-2812 |
| Practice Telephone | 8134975059 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
36267 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
6080 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 408 Lincoln St, Abington, MA 023511669 | 7818128209 |
| Street Address |
2221 S DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134643356 | Thomas Mulligan | Physical Therapist | 401 Channelside Dr, Tampa, FL 33602-5400 | 2017-07-29 |
| 1508348640 | James Francis Haughney IIi | Physical Therapist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 | 2018-09-05 |
| 1750809448 | Brian Paul Broussard | Physical Therapist | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2017-09-02 |
| 1144293408 | Jody Carl Andersen | Physical Therapist | 401 W Kennedy Blvd, Box 30f, Tampa, FL 33606-1450 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538721907 | Revolution Sports and Performance LLC | Physical Therapist | 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2019-07-05 |
| 1790242105 | Ignacio Ray Barajas | Physical Therapist | 11723 Gulf Beach Hwy, Pensacola, FL 32507-9143 | 2019-02-22 |
| 1679041081 | Mauricio Elizondo | Physical Therapist | 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082-3211 | 2018-11-05 |
| 1881109791 | Michael R Preciados | Physical Therapist | 2999 Ne 191st St Ste 230, Aventura, FL 33180-3115 | 2017-12-14 |
| 1467970277 | Naples Premier Physical Therapy Inc | Physical Therapist | 3940 Prospect Ave Ste 103, Naples, FL 34104-3745 | 2017-08-31 |
| 1962952333 | Jordan Clayborne | Physical Therapist | 4747 N Ocean Dr Ste 261, Lauderdale By The Sea, FL 33308-2956 | 2016-10-10 |
| 1043764483 | Tonny Vandehee | Physical Therapist | 3264 Pacific Dr, Naples, FL 34119-8672 | 2016-08-14 |
| 1861848517 | Physioworks of Miami | Physical Therapist | 3617 E Sandpiper Dr, #5, Boynton Beach, FL 33436-2463 | 2016-05-12 |
| 1538433552 | Physical Therapy & Sports Rehab LLC | Physical Therapist | 1290 Old Congress Ave., West Palm Beach, FL 33409 | 2012-03-08 |
| 1881829240 | Jeremy M Martin | Physical Therapist | 4767 Drane Field Rd, Lakeland, FL 33811-1220 | 2009-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.