Organization
SOUTH FLORIDA SPINE AND ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK MALLOY IV (DO/AUTHORIZED OFFICIAL)
(954) 500-4554
Entity
Organization
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 500-4554
(954) 400-0904
Mailing address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(561) 498-2000
(561) 496-7074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
10/09/2019
Last updated
12/12/2025
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