David Maletzke, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9361493 Issued in FL

Practice address

8745 N Wickham Rd
Melbourne, FL 32940-5997

Phone

(321) 434-9390

NPI assigned

Feb 24, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1124774591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDEN AVE",
            "city": "SATELLITE BCH",
            "state": "FL",
            "postal_code": "329372112",
            "telephone_number": "321-213-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329405997",
            "telephone_number": "321-434-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALETZKE",
        "first_name": "DAVID",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9361493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VA",
            "affiliation": "N",
            "address_1": "8745 N Wickham Rd",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329405997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Noah Kamal Majeed, M.S.
• Denis Michael Malcolm, N.P.
• Kara Maldonado, APRN
• Lisandra Maldonado, APRN
• John Malek, RPH
• Megan Malik
• David Joel Malis, MD
• Cassandra Mall, ATC, SCAT
• Lexus Chardanai Mallard-Martin
• Brian Joseph Mallette, D.P.M.

• Registered Nurse in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.