Individual
ALICIA GAMBLE MCLOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
785 PRIMERA BLVD, SUITE# 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 708-1985
Mailing address
785 PRIMERA BLVD, SUITE# 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 708-1985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002015600
—
FL
Enumeration date
01/20/2010
Last updated
04/02/2025
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