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1477567642
MICHAEL J MALLIS
HOLLYWOOD, FL
NPI
1477567642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL OS8804)
Enumeration Date
2006-07-27
Last Update Date
2021-03-17
Business Address
MICHAEL J MALLIS D.O.
4651 SHERIDAN ST STE 350
HOLLYWOOD, FL 33021-3425
Phone number: 954-276-8559
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Mailing Address
MICHAEL J MALLIS D.O.
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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