Mallick OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MALLICK OBGYN LLC

Practice address

2425 S Volusia Ave Ste B1
Orange City, FL 32763-7625

Phone

(386) 538-0611

NPI assigned

Sep 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sobiah MallickNPI 1124303375

Title

Owner

Phone

(386) 538-0611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sobiah Mallick, MD

  • Obstetrics & Gynecology Physician
  • Apopka, FL
  • NPI 1124303375
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1982584645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S VOLUSIA AVE STE B1",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S VOLUSIA AVE STE B1",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637625",
            "telephone_number": "386-538-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLICK OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MALLICK",
        "authorized_official_first_name": "SOBIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-538-0611"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Children'S Dentistry and Orthodontics of Orange City, P.a.
• Jarelin Lizeth Malagon Lara
• Jocelyn Malagon
• Ramy Malak
• Jeann Marie Maldonado Cintron, M.D.
• Kori J Malouin, BCO, BADO
• Rebeka Mendes Borges Manara de Pontes, NP
• Kumpol Manasvigangkul, D.C.
• Judith Mandujano Rodriguez
• Mahtaab Manekia

• Obstetrics & Gynecology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.