Individual provider · Type 1 NPI

Ronald Martin Mall, DO

General Practice Physician · Largo, FL

NPI number 1083648703 Active

Practice location

3800 East Bay Drive, East Bay Medical Center
Largo, FL 33771

Call (727) 539-0505 Map

Fax (727) 394-1804

Mailing address

13020 Park Blvd, Oakhurst Medical Clinic
Semionle, FL 33776

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XOS0003675 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1083648703

Ronald Martin Mall, DO's National Provider Identifier is 1083648703, issued on Jul 10, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Largo, FL. The record was last updated on Dec 27, 2011.