Omar Antonio Malpica

Name

Omar Antonio Malpica

Year of birth

1941

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Omar Antonio Malpica

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: DENTIST

Medical license number: 1912174483

Address: 61 SW 94TH TER, UNIT 7

City: PLANTATION

State: FL

Zip code: 33324

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2024-07-18


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