GARY W MALLOW (NPI# 1548425747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548425747 |
| Entity Type | Individual |
| Full Name | GARY W MALLOW |
| Credential | M.D. |
| Practice Address |
9633 W Broward Blvd Suite 1 Plantation FL 33324-2332 |
| Practice Telephone | 9544523535 |
| Practice Fax Number | 9544529631 |
| Mailing Telephone | 9544523535 |
| Mailing Fax Number | 9544529631 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 049267 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
9633 W BROWARD BLVD SUITE 1 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664348 | Durairaj Venkatasamy Md Pa | Internal Medicine | 9633 W Broward Blvd, Suite 5, Plantation, FL 33324-2332 | 2006-03-27 |
| 1972930980 | Broward Intensivist Group LLC | Internal Medicine | 9633 W Broward Blvd, Suite 6, Plantation, FL 33324-2332 | 2013-10-04 |
| 1326399528 | Veloz Dental Pa | Dentist | 9633 W Broward Blvd, Suite 10, Plantation, FL 33324-2332 | 2012-09-27 |
| 1215284757 | Coral Ridge Professional Group LLC | Specialist | 9633 W Broward Blvd, Suite 6, Plantation, FL 33324-2332 | 2012-08-14 |
| 1619224151 | Centerline Surgical Center LLC | Clinic/Center | 9633 W Broward Blvd, Suite 6, Plantation, FL 33324-2332 | 2012-08-14 |
| 1316294853 | Coral Anesthesia Partners LLC | Specialist | 9633 W Broward Blvd, Suite6, Plantation, FL 33324-2332 | 2012-08-14 |
| 1457651655 | Broward Anesthesia Partners LLC | Anesthesiology | 9633 W Broward Blvd, Suite 6, Plantation, FL 33324-2332 | 2010-10-22 |
| 1093973513 | Gerald M Weiss | Dentist | 9633 W Broward Blvd, Plantation, FL 33324-2332 | 2008-05-30 |
| 1790809630 | Arnold Mark Cukier | Dentist | 9633 W Broward Blvd, Suite 2a, Plantation, FL 33324-2332 | 2007-03-17 |
| 1669527115 | Carol T Franco | Counselor | 9633 W Broward Blvd, Ste 3, Plantation, FL 33324 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366473 | Richards Medical Center, LLC | Internal Medicine | 499 Nw 70th Avenue, 220, Plantation, FL 33317-7500 | 2018-08-21 |
| 1487168688 | Mondona Shahrokh | Internal Medicine | 90 Sw 91st Ave Apt 104, Plantation, FL 33324-2559 | 2017-11-27 |
| 1932632890 | Dean Kalam Kalia | Internal Medicine | 11801 Nw 19th St, Plantation, FL 33323-2116 | 2017-04-07 |
| 1952740458 | North Broward Hospital District | Internal Medicine | 1811 N Pine Island Rd, Plantation, FL 33322-5207 | 2013-06-18 |
| 1467798587 | Ronald Friedman | Internal Medicine | 400 Nw 87th Ln, Apt 102, Plantation, FL 33324-8010 | 2012-12-18 |
| 1306180104 | Rma of Sunrise LLC | Internal Medicine | 1208 N University Dr Bldg 7, Plantation, FL 33322-4724 | 2012-11-16 |
| 1891094025 | Allan Martin Selbst | Internal Medicine | 1600 Nw 99th Ave, Plantation, FL 33322-4252 | 2011-03-28 |
| 1174843650 | Larry R Leichter | Internal Medicine | 699 Cardinal St, Plantation, FL 33324-8213 | 2010-06-07 |
| 1073750352 | Sondra Aiken | Internal Medicine | 810 S. State Rd 7, Plantation, FL 33317 | 2009-01-08 |
| 1982840336 | Yugandhar Kandimalla | Internal Medicine | 8021 W Broward Blvd, Plantation, FL 33324 | 2009-01-06 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.