Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
USMEDPED
Active
Organization
USMEDPED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD WILMONT MALLARD III (PRESIDENT)
(904) 215-5951
Entity
Organization
Contact information
Practice address
1642 BRISTOL PL, ORANGE PARK, FL 32073-5270
(904) 215-5951
Mailing address
1642 BRISTOL PL, ORANGE PARK, FL 32073-5270
(904) 215-5951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers