# MICHAEL MCLEAN AND FRIENDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609029636
- **Authorized official:** MR. MICHAEL BRYAN MCLEAN (OWNER)
- **Authorized official phone:** (352) 378-8286

## Contact information

- **Practice address:** 1135 NW 23RD AVE STE P, GAINESVILLE, FL 32609-3450
- **Practice address phone:** (352) 378-8286
- **Practice address fax:** (352) 378-4028
- **Mailing address:** 1135 NW 23RD AVE, STE P, GAINESVILLE, FL 32609
- **Mailing address phone:** (352) 378-8286
- **Mailing address fax:** (352) 378-4028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | FL | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 693622900 | — | FL |