Mallory, Melissa Anne

Mallory, Melissa Anne is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Mallory, Melissa Anne can be contacted via phone (813) 745-4285.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-4285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME145143 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X ME145143 Florida

Profile Details

NPI number 1568722163
LBN Legal business name Mallory, Melissa Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Nov 13th, 2020 - about 5 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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