Mallia, Richard Santo

Mallia, Richard Santo is an sole proprietor health care provider with primary practice located at 16812 Nw 73Rd Ct , Hialeah FL 33015-4114. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Mallia, Richard Santo can be contacted via phone (305) 632-9975.

Contact Information

Primary practice address
16812 Nw 73Rd Ct Hialeah FL 33015-4114
Phone: (305) 632-9975
Fax: (305) 823-3085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2953 Florida

Profile Details

NPI number 1598781171
LBN Legal business name Mallia, Richard Santo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Sep 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 1598781171 NPPES
Florida MEDICAID 340242800

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