Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912008145 Individual Practitioner Male Practitioner

Dr. Henryk T Malczak , DO

General Practice • Winter Haven, FL

Professional Overview & Biography Verified Profile Summary

Dr. Henryk Malczak, DO is a registered healthcare professional specializing in General Practice in Winter Haven, FL. Practice services are available at 550 POPE AVE NW STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 Pope Ave Nw Ste 200

Winter Haven, FL 338814679

Telephone 8632992630
Fax 4072854515
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Winter Haven, FL (2490 Statewide)

Telehealth Adoption Rate
22.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
9.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes
32 32 $77.78 $70.59

Medical Specialties & State Licenses

CMS Verified: 2024-05-17
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS6110

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida Osteopathic Licen
OS6110 (FL)

Secondary Practice Locations

2500 Citrus Blvd

Leesburg, FL 347483063

Phone: 3523475225

Practice Associates & Co-Workers

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

18 Associated Practitioners
Elizabeth Ennis , PA-C

Physician Assistant

NPI 1063733376

Physician Assistant (Certified)

Ashraf Hassan

Family Medicine

NPI 1184883191
Gregory Pittman , PA-C

Physician Assistant - Medical

NPI 1245677103

Physician Assistant (Certified)

Kataceya Lamanna , APRN

Nurse Practitioner - Family

NPI 1245709740

Advanced Practice Registered Nurse

Dr. Paul Wielebinski , MD

Internal Medicine

NPI 1285689620

Doctor of Medicine (M.D.)

Debra Beachy , FNP-BC

Nurse Practitioner - Family

NPI 1417236662

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address May 17, 2024

Registered at 425 W COLONIAL DR STE 303, ORLANDO, FL 328046863 (Tel: 3213326947)

📍
Updated Practice Location August 14, 2023

Registered at 550 POPE AVE NW STE 200, WINTER HAVEN, FL 338814679 (Tel: 8632992630)

📍
Updated Business Mailing Address August 14, 2023

Registered at 6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 328277592 (Tel: 3213326947)

NPI Profile Active March 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2012

Registered at 2500 CITRUS BLVD, LEESBURG, FL 347483063 (Tel: 3523475225)

📍
Updated Business Mailing Address March 27, 2012

Registered at 2500 CITRUS BLVD, LEESBURG, FL 347483063 (Tel: 3523475225)

👤
Provider Name / Credentials Updated March 27, 2012

Recorded as HENRYK MALCZAK, D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2012

General Practice (License #OS6110 in FL)

🟢
Initial NPI Registration & Enumeration September 26, 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: 1912008145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: May 17, 2024
Sole Proprietor: No

Mailing Address

425 W Colonial Dr Ste 303

Orlando, FL 328046863

Phone: 3213326947

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.