Individual
DR. JOHN PATRICK MALLOY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 500-4554
(954) 400-0904
Mailing address
2225 SW 14TH PL, BOCA RATON, FL 33486-8558
(954) 500-4554
(954) 400-0904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H70338
MD
207X00000X
Orthopaedic Surgery Physician
OS014015
PA
207X00000X
Orthopaedic Surgery Physician
Primary
OS11281
FL
207X00000X
Orthopaedic Surgery Physician
OT011278
PA
Other
Enumeration date
07/19/2007
Last updated
11/27/2021
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