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

Michael J Mallis, DO

Individual provider Surgery Physician · NPI 1477567642

Michael J Mallis, DO is a General Surgery in Hollywood, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 1997, 29 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4651 Sheridan St Ste 350
Hollywood, FL 33021-3425
Phone: (954) 276-8559
Fax: (954) 966-9762
Show map & directions

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

Additional practice locations (1)

  • 20803 Biscayne Blvd Ste 204, Aventura, FL 33180-1429 — (954) 844-4480

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS8804 (FL)

Record details

NPI number1477567642
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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