# ROSLYN V MALLORY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871771410
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME107856 | FL | Yes |
| 207VG0400X | Gynecology Physician | ME107856 | FL | — |
| 207VX0000X | Obstetrics Physician | ME107856 | FL | — |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 01/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002800000 | — | FL |
| 01 | — | 149F4 | BCBS | FL |