Irenea C. Mallari | Bradenton, FL • PECOS Search

Irenea C. Mallari

Anesthesiology

Allopathic & Osteopathic Physicians

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

PECOS Enrollment

Based on the most recent information from CMS, provider Irenea C. Mallari does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1093778631
Provider Type
Individual
Full Name
Mallari, Irenea C.
Title
Dr.

Credential
M.D.
Gender
Female
Enumeration Date
4/6/2006
Last Updated
11/16/2025

Contact Information

Practice Location

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

Unlisted Fax

Mailing Location

PO 552106, Tampa, FL 33655-0001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME21824 Florida