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RONALD MARTIN MALL DO
NPI 1083648703
General Practice in Largo, FL

Active since July 10, 2006
3800 EAST BAY DRIVE, EAST BAY MEDICAL CENTER, LARGO, FL 33771(727) 539-0505(727) 394-1804 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald Martin Mall Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD MARTIN MALL DO (NPI 1083648703) is an individual general practice provider in Largo, Florida, licensed in Florida (OS0003675) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083648703
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRONALD MARTIN MALLCredential: DO
Location Address3800 EAST BAY DRIVE, EAST BAY MEDICAL CENTERLargo, FL 33771
Mailing Address13020 Park Blvd, Oakhurst Medical ClinicSemionle, FL 33776 · (727) 393-3404 · Fax (727) 394-1804
Phone(727) 539-0505
Fax(727) 394-1804
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 27, 2011
✔ NPI 1083648703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · OS0003675
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3800 EAST BAY DRIVE, Largo, FL 33771
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Other Identifiers 4

Other267070Avmed
Medicare UPINE32135
Medicare ID-Type Unspecified82081W
Other2337655Aetna

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Mall's NPI number?

The NPI number for Ronald Mall is 1083648703. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Ronald Mall located?

Ronald Mall practices at 3800 East Bay Drive East Bay Medical Center, Largo, FL 33771. The listed phone number is (727) 539-0505.

What is Ronald Mall's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ronald Mall was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.