Individual
JOHN E MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2664 SW IMMANUEL DR., PALM CITY, FL 34990-2738
(772) 288-3338
(772) 288-3341
Mailing address
2664 SW IMMANUEL DR., PALM CITY, FL 34990-2738
(772) 288-3338
(772) 288-3341
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO1806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87971
BCBS ID
FL
Enumeration date
06/13/2005
Last updated
11/09/2007
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