Organization
MICHELLE MCLANAHAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MCLANAHAN M.D. (OWNER)
(904) 296-2992
Entity
Organization
Contact information
Practice address
8075 GATE PKWY W, #305, JACKSONVILLE, FL 32216-3684
(904) 296-2992
(904) 296-2993
Mailing address
8075 GATE PKWY W, #305, JACKSONVILLE, FL 32216-3684
(904) 296-2992
(904) 296-2993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME69467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002817200
—
FL
Enumeration date
10/05/2007
Last updated
03/09/2012
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