Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUM MARIE MALLICK
Active Sole ProprietorAUTUM MARIE MALLICK is a Podiatric Surgery healthcare provider located in HOLT, Florida. NPI 1578108627 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · HOLT, FL
Registration Details
- NPI Number
- 1578108627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2019 (6.5688352360693 yrs)
- Last Updated
- Nov 14, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
7165 TEE DON CTHOLT, FL, 325648925Browse FL providers · Browse ZIP 32564
- Phone
- 8503139846
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.