Individual
GINA O MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7001 SW 97TH AVE STE 101, MIAMI, FL 33173
(305) 273-7998
(305) 273-7275
Mailing address
11244 SW 133RD TER, MIAMI, FL 33176-8317
(305) 562-5535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007655200
—
FL
Enumeration date
02/28/2012
Last updated
06/07/2018
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