Organization Active NPI

Fernando C Malamud MD PA

  • Hematology & Oncology Physician
  • Panama City, FL
National Provider Identifier
1437187192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME76858 Issued in FL
Legal business name
FERNANDO C MALAMUD MD PA
Practice address
2202 State Ave
Suite 11
Panama City, FL 32405-7601
Phone
(850) 784-9977
Fax
(850) 784-9980
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fernando C Malamud, M.D.
Title
President
Phone
(850) 784-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME76858 FL Primary

Addresses

Primary practice location

2202 State Ave
Suite 11
Panama City, FL 32405-7601

Mailing address

PO Box 15115
Panama City, FL 32406-5115
Phone (850) 784-9977

National Provider Directory

National Provider Directory

Locations

2202 State Ave
Ste 11
Panama City, FL 32405
Phone (850) 784-9977

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437187192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15115",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065115",
            "telephone_number": "850-784-9977",
            "fax_number": "850-784-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 11",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-784-9977",
            "fax_number": "850-784-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO C MALAMUD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALAMUD",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-784-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME76858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.