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MALLORY HASLAM
NPI 1700710795
Nurse Practitioner - Adult Health in Orlando, FL

Active since June 12, 2026
52 UNDERWOOD ST, ORLANDO, FL 32806(407) 416-6825 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Haslam NPPES

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

MALLORY HASLAM (NPI 1700710795) is an individual adult health provider in Orlando, Florida, licensed in Florida (11041528) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1700710795
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMALLORY HASLAM
Location Address52 UNDERWOOD STOrlando, FL 32806-1110
Mailing Address52 Underwood StOrlando, FL 32806-1110 · (407) 416-6825
Phone(407) 416-6825
Sole ProprietorYes
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1700710795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 11041528
52 UNDERWOOD ST, Orlando, FL 32806
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Other Providers at the Same Location NPPES 20

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

THAI QUOC NGUYEN MD
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
MAQSOOD KHAN
Radiology (Diagnostic Radiology)
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 842-8475
SHARMILA PEARL PRICE M.D.
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
DIEGO ESTEBAN VANEGAS ACOSTA MD
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
NAFEESA RAADIA KHAN
Family Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
NICOLE PHAM-SUN DO
Internal Medicine
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
LIBBY THOMAS
Nurse Practitioner (Adult Health)
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-8727
LINDA GAVRIC DO
Student in an Organized Health Care Education/Training Program
52 UNDERWOOD ST
ORLANDO, FL 32806
Orange County (407) 841-5145

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 Mallory Haslam's NPI number?

The NPI number for Mallory Haslam is 1700710795. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Mallory Haslam located?

Mallory Haslam practices at 52 Underwood St, Orlando, FL 32806. The listed phone number is (407) 416-6825.

What is Mallory Haslam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mallory Haslam was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.