SearchFlorida106S00000X

Roy Mallard, RBT

NPI 1700595485 · on the registry since 2022

Practice

Address
1969 Golden Palm Cir
Tavares, FL 32778
Phone
(407) 383-4855
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida