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1811992050
MARC JEFFREY MALLIS
NEW PORT RICHEY, FL
NPI
1811992050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME 0037030)
Enumeration Date
2005-06-15
Last Update Date
2009-02-24
Business Address
DR. MARC JEFFREY MALLIS MD
5347 MAIN ST STE 102
NEW PORT RICHEY, FL 34652-2506
Phone number: 727-845-1343
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Mailing Address
DR. MARC JEFFREY MALLIS MD
2975 ROLLING WOODS DR
PALM HARBOR, FL 34683-2131
Phone number: 727-784-8060
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