Organization
MARTIN COUNTY ANESTHESIA GROUP PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE E MCLAIN MD (PRESIDENT)
(772) 287-5200
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
(866) 665-2702
Mailing address
75 REMITTANCE DR, SUITE 6634, CHICAGO, IL 60675-6634
(877) 538-4594
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0888797
CIGNA GROUP NUMBER
FL
05
—
252978500
—
FL
01
—
77336
BCBS OF FL GR NUMBER
FL
01
—
CH9103
RR MEDICARE GROUP#
FL
Enumeration date
05/16/2006
Last updated
10/11/2012
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