Henryk T Malczak, D.O

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS6110 Issued in FL

Practice address

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679

Phone

(863) 299-2630

Fax

(407) 285-4515

NPI assigned

Sep 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carespot of Orlando Hsi Urgent Care LLC

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1306367503

  General Practice

  Medicare reassignment NPD
• Trinity Medical Physicians, LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1225652878
  Medicare reassignment NPD
• Baptist Occupational Health Inc

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1710058177
  NPD (past)
• Bonita Family Care, Inc

  • Family Medicine Physician
  • Bonita Springs, FL
  • NPI 1902912850
  NPD (past)
• University of Florida Jacksonville Physicians, Inc.

  • Family Medicine Physician
  • Yulee, FL
  • NPI 1518126168
  NPD (past)
• Allervie Health Professional Corporation

  • Allergy & Immunology Physician
  • Birmingham, AL
  • NPI 1780629535
  NPD (past)
• Occmed South LLC

  • Clinic/Center
  • Anniston, AL
  • NPI 1023458429
  NPD (past)
• Southern Family Practice and Occupational Medicine, Inc.

  • Primary Care Clinic/Center
  • Anniston, AL
  • NPI 1326077108
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1912008145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630",
            "fax_number": "407-285-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Citrus Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347483063",
            "country_code": "US",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCZAK",
        "first_name": "HENRYK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS6110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OSTEOPATHIC LICEN",
            "identifier": "OS6110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnifying Helping Hands Cargo 'Net' LLC
• Alexander S Magno, M.D.
• Brendan Mahoney, DC
• George Frederick Mailly, M.A.
• Emma Majewski
• Marta Evelin Maldonado, APRN 11025083
• Duaa Malik, MD
• Shea Mackenzie Malone-Boyd, WHNP-BC
• Margaret Calingo Manansala-Eary, M.S., SLP-CCC
• Rajnish Manchanda, M.D.

• General Practice Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.