Brian J Mallette Dpm Llc

NPI 1073755963 - Podiatrist - 213ES0103X

NPI Details
NPI 1073755963
Enumeration Date 03/24/2009
Last Updated 02/18/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BRIAN J. BRIAN
Position PRESIDENT
Phone (321) 728-0117
Fax (321) 728-0151
Practice Location
200 S HARBOR CITY BLVD
SUITE302
MELBOURNE FL, 32901-1384, US
Phone (321) 728-0117
Fax (321) 728-0151
Business Location
200 S HARBOR CITY BLVD
SUITE302
MELBOURNE FL, 32901-1384, US
Phone (321) 728-0117
Fax (321) 728-0151
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO2692
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According to our database, Brian J Mallette Dpm Llc NPI is 1073755963, taxonomy code is 213ES0103X and license number is PO2692, license state is located at Florida. Brian J Mallette Dpm Llc physically located at 200 S Harbor City Blvd, Melbourne FL, 32901-1384. NPI Number 1033115704 has the healthcare provider type.

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1073755963 NPI number is provided on an as is basis without warranty of any kind. 1073755963 is maintained by the National Plan & Provider Enumeration System. The contents of Brian J Mallette Dpm Llc are for informational purposes only.