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
Phone: (877) 751-1157
Fax: (919) 425-1596
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760485437 | NPPES |
| Florida | Other | 23714 | MEDICARE CORE |
| Florida | MEDICAID | 374172900 | MEDICARE CORE |
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