Mallory, George Edward

Mallory, George Edward is an individual health care provider with primary practice located at 17606 Nathans Dr , Tampa FL 33647-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mallory, George Edward can be contacted via phone (813) 997-1241.

Contact Information

Primary practice address
17606 Nathans Dr Tampa FL 33647-2272
Phone: (813) 997-1241
Fax: (813) 973-4664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS0005771 Florida

Profile Details

NPI number 1609844695
LBN Legal business name Mallory, George Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 24th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609844695 NPPES
Florida Other 80714 BCBS
Florida MEDICAID 370789001 BCBS

Popular Providers