Individual
JOHN E. MCLAIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WINDERLEY PL, SUITE #115, MAITLAND, FL 32751-7247
(407) 875-0555
Mailing address
500 WINDERLEY PL, SUITE #115, MAITLAND, FL 32751-7247
(407) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
070502
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2011
Last updated
09/29/2014
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