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

Ronald Martin Mall, DO

Individual provider General Practice Physician · NPI 1083648703

Ronald Martin Mall, DO is a General Practice Physician in Largo, Florida. Licensed in Florida. Registered with an NPI since 2006.

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.

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Practice location Address checks out

3800 E Bay Drive East Bay Medical Ctr
Largo, FL 33771
Phone: (727) 539-0505
Fax: (727) 394-1804
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Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS0003675 (FL)

Record details

NPI number1083648703
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 27, 2011
Mailing address13020 Park Blvd, Oakhurst Medical Clinic, Semionle, FL 33776

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