Individual
DR. MICHAEL J. MCCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8981 COLONIAL CENTER DR, FORT MYERS, FL 33905-7816
(239) 938-0800
(239) 938-0890
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3224
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
OS5832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063151500
—
FL
01
—
830004835
RAILROAD MEDICARE
—
Enumeration date
11/23/2005
Last updated
08/06/2022
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