Michael J Mallis (NPI# 1477567642, PAC ID# 0749272524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1477567642 |
| PAC ID by PECOS | 0749272524 |
| Professional Enrollment ID | I20040401000248 |
| Full Name | Michael J Mallis |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Address |
201 E Sample Rd Pompano Beach FL 33064-3502 |
| Phone Number | 9549418300 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5799881660 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| 100230 | MEMORIAL HOSPITAL PEMBROKE |
| Address | Phone | Organization |
|---|---|---|
| 21644 State Rd, Suite 7, Boca Raton, FL 33428-1842 | 5614888000 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 9543443000 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| 4651 Sheridan St, Suite 350, Hollywood, FL 33021-3425 | 9542768559 | SOUTH BROWARD HOSPITAL DISTRICT |
| 601 N Flamingo Rd, Pembroke Pines, FL 33028-1012 | SOUTH BROWARD HOSPITAL DISTRICT | |
| 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 9549418300 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Lee Tate- Kennedy | Nurse Practitioner | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Wilson Dumornay | Otolaryngology | South Florida Surgical Specialists LLC | 4101 S Hospital Dr, Suite 14, Plantation, FL 33317-2830 |
| Alejandro T Soler | General Surgery | South Florida Surgical Specialists LLC | 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 |
| Bernardo M Johr | Vascular Surgery | South Florida Surgical Specialists LLC | 601 N Flamingo Rd, Suite 319, Pembroke Pines, FL 33028-1011 |
| David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Brian Schmidt | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Joseph P Corallo Jr. | Colorectal Surgery (proctology) | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Aeyal Oren | General Surgery | South Florida Surgical Specialists LLC | 201 Nw 82nd Ave, Suite 301, Plantation, FL 33324-1839 |
| Bernard J Zaragoza | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Street Address |
201 E SAMPLE RD |
| City | POMPANO BEACH |
| State | FL |
| Zip | 33064-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet L Nguyen-sperry | Radiation Oncology | 21st Century Oncology, LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Tracey E Tordella | Nurse Practitioner | North Broward Hospital District | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Kenneth P Morrison | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Mehmet G Hepgur | Hematology/oncology | North Broward Hospital District | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Naomi S Montague | Pathology | First Path LLC | 201 E Sample Rd, Deerfield Beach, FL 33064-3502 |
| Gary Lehr | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Andres Morgado-laureano | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Joel K Erickson | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Matthew D Earhart | Physician Assistant | Ortho Florida, LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Lee Hollibush | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Robert M Baker | Diagnostic Radiology | North Broward Radiologists, P.a. | 1608 Se 3rd Ave, Fort Lauderdale, FL 33064 |
| Niermala Washington | General Practice | 3511 Nw8th Ave, I2, Pompano Beach, FL 33064 | |
| Rochel Gelinas | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Francois Chidiac | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Marshal E Lieberfarb | Radiation Oncology | 21st Century Oncology, LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Evan M Landau | Radiation Oncology | 21st Century Oncology, LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Meena Hierholzer | Emergency Medicine | Phoenix Emergency Medicine of Broward LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Michael J Alboucrek | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Eric L Alboucrek | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Find all physicians in zip 33064 | |||
| City | POMPANO BEACH |
| Zip Code | 33064 |
| Specialty | GENERAL SURGERY |
| City + Specialty | POMPANO BEACH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael J Mallis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.