Michael J. Mallis, D.O.

Surgery Physician · Hollywood, FL

Individual Active NPI

NPI number 1477567642

Practice location

4651 Sheridan St Ste 350
Hollywood, FL 33021-3425
Phone
(954) 276-8559
Fax
(954) 966-9762

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NPI record

NPI
1477567642
Entity type
Individual (Type 1)
Enumeration date
July 27, 2006
Last updated
March 17, 2021
Certified
March 17, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X OS8804 FL

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone
(954) 276-5685
Fax
(954) 985-7074

Other practice locations (1)

  • 20803 Biscayne Blvd Ste 204, Aventura, FL 33180-1429 · (954) 844-4480

About Dr. Mallis

Michael J. Mallis, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 4651 Sheridan St Ste 350, Hollywood, FL 33021-3425. The NPI number 1477567642 was assigned on July 27, 2006 and the record was last updated on March 17, 2021.

Dr. Mallis lists a license in the registry: #OS8804 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Mallis, D.O.?

The NPI number is 1477567642.

What is the phone number of Dr. Mallis?

The phone number listed for the practice location is (954) 276-8559.

Where is Dr. Mallis located?

4651 Sheridan St Ste 350, Hollywood, FL 33021-3425.

What is the taxonomy code for Dr. Mallis?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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