Individual
CAROLE MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
213 E SHERIDAN ST STE 1, DANIA BEACH, FL 33004-4607
(954) 921-9555
(954) 921-9556
Mailing address
213 E SHERIDAN ST STE 1, DANIA BEACH, FL 33004-4607
(954) 921-9555
(954) 921-9556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9916
FL
208VP0000X
Pain Medicine Physician
OS9916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58120
BCBS FL
FL
Enumeration date
10/05/2006
Last updated
10/30/2025
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