Individual
MOHAMMED KAMAL EL MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 SW COLLEGE RD STE 1462, OCALA, FL 34474-4790
(352) 622-5183
(352) 629-5026
Mailing address
4414 SW COLLEGE RD UNIT 1462, OCALA, FL 34474-2701
(352) 622-5183
(352) 622-2720
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME101225
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
ME101225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082300
—
FL
01
—
30620
BLUE CROSS AND BLUE SHIELD OF FL
FL
Enumeration date
07/24/2006
Last updated
05/15/2025
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