Mailloux, Mary

Mailloux, Mary is an individual health care provider with primary practice located at 3333 W Commercial Blvd Ste 210, Ft Lauderdale FL 33309-3407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mailloux, Mary can be contacted via phone (877) 751-1157.

Contact Information

Primary practice address
3333 W Commercial Blvd Ste 210 Ft Lauderdale FL 33309-3407
Fax: (919) 425-1596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME62993 Florida

Profile Details

NPI number 1760485437
LBN Legal business name Mailloux, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 15th, 2008 - about 16 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 1760485437 NPPES
Florida Other 23714 MEDICARE CORE
Florida MEDICAID 374172900 MEDICARE CORE

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