Organization
MALLICK OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOBIAH MALLICK (OWNER)
(386) 538-0611
Entity
Organization
Contact information
Practice address
2425 S VOLUSIA AVE STE B1, ORANGE CITY, FL 32763-7625
(386) 538-0611
Mailing address
2425 S VOLUSIA AVE STE B1, ORANGE CITY, FL 32763-7625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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