Individual
RAY E MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CESERY BLVD, SUITE 100, JACKSONVILLE, FL 32211-5612
(904) 745-3070
Mailing address
8055 TOULON CT, JACKSONVILLE, FL 32277-2891
(904) 608-4318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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