Individual
DR. DANIEL THEODORE MCCLENATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S, SUITE #605, ST PETERSBURG, FL 33701-4804
(727) 822-4300
(727) 456-1399
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME0042464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067720500
—
FL
Enumeration date
01/05/2006
Last updated
01/20/2015
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