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George Mallinckrodt

NPI 1801350400 · on the registry since 2019 · sole proprietor

Practice

Address
901 S 62nd Ave
Hollywood, FL 33023
Phone
(561) 790-1191
Clinicians at this address
9

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-28

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