Mahon, Holly

Mahon, Holly is an individual health care provider with primary practice located at 1600 S Andrews Ave Broward Pediatrics Ed, Ft Lauderdale FL 33316-2510. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mahon, Holly can be contacted via phone (954) 355-4400.

Contact Information

Primary practice address
1600 S Andrews Ave Broward Pediatrics Ed Ft Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME64987 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME64987 Florida

Profile Details

NPI number 1952397887
LBN Legal business name Mahon, Holly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 11th, 2012 - about 12 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 1952397887 NPPES
Florida Other 23458 MEDICARE CORE
Florida MEDICAID 037341199 MEDICARE CORE

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