Individual
WILLIAM P MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7325
(386) 424-9601
Mailing address
504 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7325
(386) 424-9601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME35519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004597
FLORIDA HEALTH CARE
FL
01
—
0500350
GHI
FL
01
—
200014072
RAILROAD MEDICARE
FL
01
—
4087496
AETNA
FL
01
—
64422
BLUE CROSS BLUE SHIELD
FL
01
—
T8467
PRINCIPAL
FL
Enumeration date
08/31/2005
Last updated
03/07/2023
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