Organization
RICHARD A MCLEAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MCLEAN MD (PRESIDENT)
(954) 792-4880
Entity
Organization
Contact information
Practice address
4101 NW 4TH ST, SUITE 404, PLANTATION, FL 33317-2850
(954) 792-4880
(954) 792-4881
Mailing address
14782 SW 176TH TER, MIAMI, FL 33187-6779
(954) 599-5172
(954) 792-4880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME86503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871571158
NPI
FL
Enumeration date
07/10/2007
Last updated
07/10/2007
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