JAMIE A MALLAH MD
NPI 1245421403
Pediatrics in Lutz, FL

Active since August 05, 2007
4683 VAN DYKE RD, LUTZ, FL 33558(813) 968-7171(813) 968-7282 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jamie A Mallah Md NPPES

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

JAMIE A MALLAH MD (NPI 1245421403) is an individual pediatrics provider in Lutz, Florida, licensed in Florida (ME98703) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1245421403
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAMIE A MALLAHCredential: MD
Location Address4683 VAN DYKE RDLutz, FL 33558-4880
Mailing Address4902 Eisenhower Blvd, Suite 300Tampa, FL 33634-6344 · (813) 636-2000 · Fax (813) 286-8835
Fax(813) 968-7282
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateSeptember 21, 2011
NPI 1245421403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME98703
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4683 VAN DYKE RD, Lutz, FL 33558

Other Identifiers 2

Medicare PIN17438FL
Medicaid279016500FL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558
Nurse Practitioner (Pediatrics)
4683 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4683 VAN DYKE RD
LUTZ, FL 33558

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 Jamie Mallah's NPI number?

The NPI number for Jamie Mallah is 1245421403. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Jamie Mallah located?

Jamie Mallah practices at 4683 Van Dyke Rd, Lutz, FL 33558. The listed phone number is (813) 968-7171.

What is Jamie Mallah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jamie Mallah was last updated on September 21, 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.