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Contact Information

JOHN P MALLOY IV, DO
4515 WILES RD STE 201
COCONUT CREEK, FL33073-3414
 Phone: 954-500-4554
 Fax: 954-400-0904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN P MALLOY IV · (Male)

NPI # 1447450424
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/19/2007
Last updated 11/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS11281
  • MD License # H70338
  • PA License # OS014015
  • PA License # OT011278
Hospital affiliation(s)
  • BROWARD HEALTH CORAL SPRINGS - (Acute Care)
    3000 CORAL HILLS DR
    CORAL SPRINGS, FL 33065
  • BROWARD HEALTH NORTH - (Acute Care)
    201 E SAMPLE RD
    POMPANO BEACH, FL 33064
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    2801 N STATE RD 7
    MARGATE, FL 33063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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