Individual
DR. MICHAEL DOUGLAS MCCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2522
(407) 254-2557
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2522
(407) 254-2557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME98424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.085825
STATE MEDICAL LICENSE
OH
01
—
ME98424
STATE MEDICAL LICENSE
FL
Enumeration date
05/11/2007
Last updated
03/16/2010
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