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Deactivated NPI 1598846339 Deactivated / Inactive NPI Female Practitioner

Dr. Nelda Santos Malacaman , MD

Pediatrics • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nelda Malacaman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date September 25, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Nelda Malacaman, MD was a registered Pediatrics practicing in St Augustine, FL. Throughout an active medical career spanning 19 years, Dr. Malacaman provided care at the practice location at 493 PROSPERITY LAKE DR until profile deactivation on 2025-09-25.

Practice Location & Contact Primary Location

Practice Address

493 Prosperity Lake Dr

St Augustine, FL 320925045

Telephone 9048245437
Fax 9048247575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
17 Specialists

Practicing in St Augustine, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME96697

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1134226699

Doctor of Osteopathic Medicine (D.O.)

Jennifer Angel , APRN

Nurse Practitioner - Pediatrics

NPI 1255415725

Advanced Practice Registered Nurse

Victoria Miller , PA-C

Physician Assistant

NPI 1316946866

Physician Assistant (Certified)

NPI 1477596377

Doctor of Medicine (M.D.)

Cyndie Hatcher

Pediatrics

NPI 1538588785
Natasha Jno Baptiste

Nurse Practitioner - Family

NPI 1811343791

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 25, 2025

Record deactivated on September 25, 2025

NPI Profile Active June 18, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2012

Registered at 493 PROSPERITY LAKE DR, ST AUGUSTINE, FL 320925045 (Tel: 9048245437)

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Updated Business Mailing Address June 18, 2012

Registered at 7766 WATERMARK LN, JACKSONVILLE, FL 322564111 (Tel: 9048245437)

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Provider Name / Credentials Updated June 18, 2012

Recorded as NELDA MALACAMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2012

Pediatrics (License #ME96697 in FL)

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Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598846339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: June 18, 2012
Deactivation Date: September 25, 2025

Mailing Address

7766 Watermark Ln

Jacksonville, FL 322564111

Phone: 9048245437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.