Individual
DR. GENEVIEVE BROWN MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 37TH STREET SUITE 101, VERO BEACH, FL 32960
(772) 562-5662
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 78157
FL
208000000X
Pediatrics Physician
ME78157
FL
208D00000X
General Practice Physician
Primary
ME78157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME78157
MEDICAL LICENSE NUMBER
FL
Enumeration date
10/24/2006
Last updated
01/04/2013
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