DR. HOLLY MAHON MD NPI 1952397887

NPI Information

  • NPI: 1952397887
  • Provider Name: DR. HOLLY MAHON, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 S ANDREWS AVE
    BROWARD PEDIATRICS ED
    FT LAUDERDALE, FL
    ZIP 33316
  • Phone: (954) 355-4400

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NPI Details

DR. Holly Mahon, MD is a pediatric emergency medicine pediatrics in Ft Lauderdale, FL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Holly Mahon, MD NPI is 1952397887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 S ANDREWS AVE
BROWARD PEDIATRICS ED
FT LAUDERDALE, FL
ZIP 33316-510
Phone: (954) 355-4400

The NPI 1952397887 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME64987FLORIDANo
22080P0204XPediatricsPediatric Emergency MedicineME64987FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F67909MEDICARE UPIN
2037341199MEDICAIDFLORIDA
323458CMEDICARE PINFLORIDA
423458OTHERFLORIDAMEDICARE CORE
523458DMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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