Individual
DR. BRENDAN CHRISTOPHER O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13901 BRUCE B DOWNS BLVD, TAMPA, FL 33613-3905
(813) 615-7620
(813) 971-7953
Mailing address
13901 BRUCE B DOWNS BLVD, TAMPA, FL 33613-3905
(813) 615-7625
(813) 971-7953
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208278100
—
FL
Enumeration date
03/07/2006
Last updated
07/16/2010
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