Mallary, John J

Mallary, John J is an individual health care provider with primary practice located at 2500 Martin Luther King Jr Blvd , Panama City FL 32405-4412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mallary, John J can be contacted via phone (850) 784-3937.

Contact Information

Primary practice address
2500 Martin Luther King Jr Blvd Panama City FL 32405-4412
Phone: (850) 784-3937
Fax: (850) 522-9829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME 24710 Florida

Profile Details

NPI number 1225068539
LBN Legal business name Mallary, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 13th, 2007 - about 18 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 1225068539 NPPES
Florida Other 03083 BLUE CROSS & BLUE SHEILD
Florida MEDICAID 05251380 BLUE CROSS & BLUE SHEILD

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