Mallea, Roberto G
Mallea, Roberto G is an individual health care provider with primary practice located at 4300 52Nd Ave S , Saint Petersburg FL 33711-4694. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mallea, Roberto G can be contacted via phone (727) 867-1944.Contact Information
Primary practice address
4300 52Nd Ave S
Saint Petersburg FL 33711-4694
Phone: (727) 867-1944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 3058 | Florida |
Profile Details
| NPI number | 1508927799 |
|---|---|
| LBN Legal business name | Mallea, Roberto G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508927799 | NPPES |
| Florida | Other | PT 3058 | P.T. LICENSE |
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