Organization
WILLIAM J. MALLON, MD
Active
Parent organization
WILLIAM J. MALLON, MD
Other names
Center for Advanced Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM J. MALLON, MD
Authorized official
MICHELLE MALCOLM (RPHT)
(772) 299-1404
Entity
Organization
Contact information
Practice address
1707 S 25TH ST, FORT PIERCE, FL 34947-4709
(772) 299-1404
Mailing address
3500 US HIGHWAY 1, VERO BEACH, FL 32960-4511
(772) 299-1404
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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