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1831862044
JASON MARKOS MALLIS
PENSACOLA, FL
NPI
1831862044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9118897)
Enumeration Date
2021-07-26
Last Update Date
2024-10-03
Business Address
Mr. JASON MARKOS MALLIS PA-C
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504-8770
Phone number: 850-416-1900
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Mailing Address
Mr. JASON MARKOS MALLIS PA-C
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6063
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