Individual
AMBER M MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
7006471205
UT
2080A0000X
Pediatric Adolescent Medicine Physician
ME120981
FL
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME120981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108263600
—
FL
01
—
150F2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2012
Last updated
07/01/2022
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