Individual
DR. MICHELLE MCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8075 GATE PARKWAY WEST, STE 305, JACKSONVILLE, FL 32216
(904) 296-2992
(904) 296-2993
Mailing address
8075 GATE PARKWAY WEST, STE 305, JACKSONVILLE, FL 32216-3685
(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
—
379135100
—
FL
Enumeration date
11/03/2005
Last updated
03/21/2012
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