Individual
JOSEPH A MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 HICKORY ST, SUITE B, MELBOURNE, FL 32901
(321) 725-5600
(321) 724-4324
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5600
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME42197
FL
207RH0003X
Hematology & Oncology Physician
ME42197
FL
207RX0202X
Medical Oncology Physician
Primary
ME42197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040455100
—
FL
01
—
05526Y
MEDICARE HF
FL
01
—
110011603
RR MEDICARE
FL
Enumeration date
11/14/2005
Last updated
10/26/2023
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