FARYAL J MALLICK

TAMPA, FL
NPI1962865097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: FL  ME140149)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY  TP944)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY  51944)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-05
Last Update Date2025-02-20
Business Address
FARYAL J MALLICK MD
14003 N DALE MABRY HWY STE C
TAMPA, FL 33618-2459
Phone number: 813-461-7797
Mailing Address
FARYAL J MALLICK MD
10006 CROSS CREEK BLVD STE 124
TAMPA, FL 33647-2595
Phone number: 813-461-7707