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MALLICK OBGYN LLC
NPI 1982584645
Obstetrics & Gynecology in Orange City, FL

Active since September 04, 2025CLIA 10D2333182 · Waiver
2425 S VOLUSIA AVE STE B1, ORANGE CITY, FL 32763(386) 538-0611 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallick Obgyn Llc NPPES

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

MALLICK OBGYN LLC (NPI 1982584645) is a healthcare organization registered as an obstetrics & gynecology in Orange City, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Sobiah Mallick, Owner, as its authorized official.

NPPES Registry Identity

NPI1982584645
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMALLICK OBGYN LLC
Location Address2425 S VOLUSIA AVE STE B1Orange City, FL 32763-7625
Mailing Address2425 S Volusia Ave Ste B1Orange City, FL 32763-7625
Phone(386) 538-0611
Organization SubpartNo
Authorized OfficialSobiah MallickOwner · (386) 538-0611
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1982584645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2425 S VOLUSIA AVE STE B1, Orange City, FL 32763
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2333182

Mallick Ob/Gyn LLC · Orange City, FL
Active · expires Oct 29, 2027
CLIA Number10D2333182
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorSobiah Mallick
Laboratory Phone(386) 538-0611
Laboratory LocationMallick Ob/Gyn LLC2425 S Volusia Ave Unit B1, Orange City, FL 32763
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mallick Obgyn LLC's NPI number?

The NPI number for Mallick Obgyn LLC is 1982584645. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Mallick Obgyn LLC located?

Mallick Obgyn LLC is located at 2425 S Volusia Ave Ste B1, Orange City, FL 32763. The listed phone number is (386) 538-0611.

What is Mallick Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Mallick Obgyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2333182) is associated with this NPI, valid through October 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mallick Obgyn LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.