Brian Joseph Mallette in Melbourne - Podiatrist
Brian Joseph Mallette - NPI 1669455291
Brian Joseph Mallette is a Podiatrist in Melbourne, Florida. Brian Joseph Mallette practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian Joseph Mallette is 1669455291. The last update date is 2015-12-08.
Brian Joseph Mallette's current location address is 200 S Harbor City Blvd, Melbourne, Florida. You can contact this provider via phone number 3217280117 and fax number 3217280151. The mailing address for Brian Joseph Mallette is 200 S Harbor City Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Joseph Mallette |
|---|---|
| Address | 200 S Harbor City Blvd, Melbourne, Florida |
| Phone Number | 3217280117 |
| Fax Number | 3217280151 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1669455291 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 200 S Harbor City Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329011384 |
| Phone Number | 3217280117 |
| Fax Number | 3217280151 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO2692 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261086800 | FL | -- | |
| 9415057001 | FL | CIGNA | |
| 2605728 | FL | AETNA | |
| 5532704 | FL | AETNA | |
| 480031393 | FL | RAILROAD MEDICARE | |
| 65643 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Brian Joseph Mallette by the Centers for Medicare & Medicaid Services?
The Brian Joseph Mallette has been issued the NPI (National Provider Identifier) 1669455291. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Joseph Mallette's facilities are geographically located?
The facilities of Brian Joseph Mallette are physically situated at the following location: 200 S Harbor City Blvd, Melbourne, FL, 329011384.
What is the Brian Joseph Mallette's specialty and taxonomy code?
The Brian Joseph Mallette's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When did Brian Joseph Mallette receive its 1669455291 assignment?
The Brian Joseph Mallette was assigned its 1669455291 on 2005-11-29, which is the date when this unique identifier was issued to the organization.
When was the Brian Joseph Mallette's information last updated?
The Brian Joseph Mallette's information was last updated on 2015-12-08.
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