| Doctor Name: | SMITA MALHOTRA |
| NPI Number: | 1174511018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | PO3096 |
| Business Practice Address: | 1100 Sawgrass Village Dr Ste 100 Ponte Vedra Beach, FL - 320825048 |
| Business Phone Number: | 9042859355 |
| Business Fax Number: | 9042857442 |
| Mailing Address: | Po Box 551380, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322551380 |
| Phone Number: | 9042859355 |
| Fax Number: | 9042857442 |
| NPI Enumeration Date: | 10/13/2005 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | PO3096 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |