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Contact Information

MELVIN MALLARI, L.M.T, P.T.A
3816 WATERSIDE DR
ORANGE PARK, FL32073
 Phone: 904-802-1421
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MELVIN MALLARI · (Male)

NPI # 1619294725
Status Active
Credentials L.M.T, P.T.A
Entity Individual
Enumeration date 04/28/2010
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PTA26759
  • TX License # 2127861
Hospital affiliation(s) Not Available
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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