Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucas W Maliwacki, PA-C

Individual provider Physician Assistant · NPI 1194120535

Lucas W Maliwacki, PA-C is a Physician Assistant in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4647 Manatee Ave W
Bradenton, FL 34209-3816
Phone: (941) 745-5999
Fax: (941) 745-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108377 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1194120535
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2014
Last updated in NPPESSeptember 27, 2017

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