Jason Mallis, PA-C

NPI 1831862044 · on the registry since 2021 · sole proprietor

Practice

Address: 5147 N 9th Ave Ste 103
Pensacola, FL 32504
Phone: (850) 416-1900
Fax: (850) 416-1958
Organisation at this address: Donald Ralph Todd Md
Novo Plastic Surgery Llc
Mcmahon & Ricketson Md Pa
Sacred Heart Medical Group
Sacred Heart Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-03

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