DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANTHONY MALLACE, MS

Active Sole Proprietor

MR. ANTHONY MALLACE, MS is a Counselor healthcare provider located in FT. LAUDERDALE, Florida. NPI 1649402835 is currently active in the NPPES registry. Verify at CMS.

Counselor · FT. LAUDERDALE, FL

Registration Details

NPI Number
1649402835
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2009 (16.94576645617 yrs)
Last Updated
Aug 20, 2009
License
MH1149 (FL)
Sole Proprietor
Yes

Practice Information

Address
2699 STIRLING ROAD
SUITE B304
FT. LAUDERDALE, FL, 33312
Browse FL providers · Browse ZIP 33312
Phone
9544328757
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in FT. LAUDERDALE, FL

Name Credential NPI
CARLOS L. APONTE MA 1346461530
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.