Mallea, Roberto G

Mallea, Roberto G is an individual health care provider with primary practice located at 4300 52Nd Ave S , Saint Petersburg FL 33711-4694. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mallea, Roberto G can be contacted via phone (727) 867-1944.

Contact Information

Primary practice address
4300 52Nd Ave S Saint Petersburg FL 33711-4694
Phone: (727) 867-1944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 3058 Florida

Profile Details

NPI number 1508927799
LBN Legal business name Mallea, Roberto G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 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 1508927799 NPPES
Florida Other PT 3058 P.T. LICENSE

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