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Organization

WESTCHASE SPORTS MEDICINE ORTHOPAEDICS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALCOLM CHRISTOPHER MACLAREN D.O. (PARTNER)
(813) 855-8450
Entity
Organization

Contact information

Practice address
11301 COUNTRYWAY BLVD, TAMPA, FL 33626-2610
(813) 855-8450
(813) 855-7540
Mailing address
11301 COUNTRYWAY BLVD, TAMPA, FL 33626-2610
(813) 855-8450
(813) 855-7540

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME100433
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS8857
FL

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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