Individual
MICHAEL MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 W MILLER ST, MP 324, ORLANDO, FL 32806-2031
(407) 841-5218
(407) 649-6939
Mailing address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(954) 858-0404
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME67777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377167900
—
FL
Enumeration date
04/07/2006
Last updated
06/30/2014
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