Individual
MICHAEL E MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 411, ORLANDO, FL 32804-4644
(251) 665-8150
(251) 665-8155
Mailing address
2501 N ORANGE AVE STE 411, ORLANDO, FL 32804-4644
(407) 303-1373
(407) 303-0852
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3675849
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME104923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09157347
—
MS
01
—
51592621
BCBS - 1720 CENTER ST
AL
01
—
51592825
575 STANTON RD
AL
01
—
51592834
3401 MED PK DR
AL
01
—
51593305
2451 FILLINGIM
AL
Enumeration date
10/27/2006
Last updated
03/06/2019
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