Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chase William Mallory

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275275380

Chase William Mallory is a Student in an Organized Health Care Education/Training Program in Gainesville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 273-8634
Fax: (352) 273-8604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1275275380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESApril 9, 2022
Certification dateApril 9, 2022
Mailing address1600 Sw Archer Road, Campus Box 100247, Gainesville, FL 32610-3003

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