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Individual

DR. MARY MCLEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(541) 760-7553
Mailing address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(541) 760-7553

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
304886
NY
207P00000X
Emergency Medicine Physician
Primary
ME159709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
304886
NEW YORK STATE MEDICAL BOARD
NY
01
ME159709
FLORIDA STATE MEDICAL BOARD
FL
Enumeration date
01/12/2016
Last updated
02/22/2023
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