Mallis, Michael J

Mallis, Michael J is an individual health care provider with primary practice located at 4651 Sheridan St Ste 350 , Hollywood FL 33021-3425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mallis, Michael J can be contacted via phone (954) 276-8559.

Contact Information

Primary practice address
4651 Sheridan St Ste 350 Hollywood FL 33021-3425
Phone: (954) 276-8559
Fax: (954) 966-9762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS8804 Florida

Profile Details

NPI number 1477567642
LBN Legal business name Mallis, Michael J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 17th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477567642 NPPES
Florida MEDICAID 274719700

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