DR. HOLLY MAHON MD NPI 1952397887

NPI Information

NPI: 1952397887
Provider Name: DR. HOLLY MAHON, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1600 S ANDREWS AVE
BROWARD PEDIATRICS ED
FT LAUDERDALE, FL
ZIP 33316
Phone: (954) 355-4400
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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
1	208000000X	Pediatrics		ME64987	FLORIDA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	ME64987	FLORIDA	Yes

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
1	F67909	MEDICARE UPIN
2	037341199	MEDICAID	FLORIDA
3	23458C	MEDICARE PIN	FLORIDA
4	23458	OTHER	FLORIDA	MEDICARE CORE
5	23458D	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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