Individual
DR. MICHAEL MCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
(954) 437-6628
Mailing address
9050 PINES BLVD, STE 200, PEMBROKE PINES, FL 33024-6456
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME81736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03129
BLUE CROSS BLUE SHIELD
FL
05
—
261392100
—
FL
Enumeration date
05/23/2005
Last updated
11/23/2009
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