Individual
PADRAIC O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD DEPT OF, GAINESVILLE, FL 32610
(352) 273-9454
(352) 273-7515
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247
(352) 273-9454
(352) 273-7515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208800000X
Urology Physician
Primary
ME138000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101237600
—
FL
Enumeration date
11/05/2014
Last updated
01/03/2019
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