Organization
MICHAEL MCLEAN AND FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRYAN MCLEAN (OWNER)
(352) 378-8286
Entity
Organization
Contact information
Practice address
1135 NW 23RD AVE STE P, GAINESVILLE, FL 32609-3450
(352) 378-8286
(352) 378-4028
Mailing address
1135 NW 23RD AVE, STE P, GAINESVILLE, FL 32609
(352) 378-8286
(352) 378-4028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693622900
—
FL
Enumeration date
11/04/2008
Last updated
11/04/2008
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