Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Christopher Alfonso Mallari, PA-C

Individual provider Physician Assistant · NPI 1154396661

Mr. Christopher Alfonso Mallari, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2002, 24 years ago. Practices with Florida Radiology Consultants P A, a 70-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13782 Plantation Rd Bldg 4 Ste 201
Fort Myers, FL 33912-4462
Phone: (239) 343-1105
Fax: (239) 343-1106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103134 (FL)

Record details

NPI number1154396661
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Florida Radiology Consultants P A — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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