Mallon, Genevieve Brown

Mallon, Genevieve Brown is an individual health care provider with primary practice located at 960 37Th Street Suite 101 , Vero Beach FL 32960. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Mallon, Genevieve Brown can be contacted via phone (772) 562-5662.

Contact Information

Primary practice address
960 37Th Street Suite 101 Vero Beach FL 32960
Phone: (772) 562-5662
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 78157 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78157 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME78157 Florida

Profile Details

NPI number 1912081266
LBN Legal business name Mallon, Genevieve Brown
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 4th, 2013 - about 11 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 1912081266 NPPES
Florida Other ME78157 MEDICAL LICENSE NUMBER

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