Mallon, Andrew Sean

Mallon, Andrew Sean is an individual health care provider with primary practice located at 1330 S Fort Harrison Ave , Clearwater FL 33756-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mallon, Andrew Sean can be contacted via phone (727) 216-0700.

Contact Information

Primary practice address
1330 S Fort Harrison Ave Clearwater FL 33756-3313
Phone: (727) 216-0700
Fax: (727) 216-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X OS12619 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X OT013216 Pennsylvania

Profile Details

NPI number 1255569570
LBN Legal business name Mallon, Andrew Sean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated May 14th, 2024 - about 7 months 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 1255569570 NPPES
Florida MEDICAID 010925000
Florida Other OS12619

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