Individual
MRS. BRIANA POLEY MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 E MARKS ST, ORLANDO, FL 32803-3819
(407) 284-6460
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 284-6460
(407) 284-6461
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9325606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8443
FL MEDICARE
FL
Enumeration date
04/01/2015
Last updated
11/16/2020
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