IndividualActive
Mallory Pfaffly, MD
NPI 1881446052 · General Practice Physician · Micanopy, FL
Provider details
- NPI number
- 1881446052
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME177427 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
504 Ne Cholokka Blvd
Micanopy, FL 32667-4109
Phone: (352) 619-9526
Fax: (352) 265-9584
Approximate (ZIP-level) locationGet directions
Mailing address
504 Ne Cholokka Blvd
Micanopy, FL 32667-4109
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.