Individual
JUDA MCLAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT (ASCP)
Contact information
Practice address
1015 W COLONIAL DR, ORLANDO, FL 32804-7336
(689) 333-5188
Mailing address
1015 W COLONIAL DR, ORLANDO, FL 32804-7336
(689) 333-5188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
183700000X
Pharmacy Technician
—
FL
202K00000X
Phlebology Physician
22-0830
FL
225700000X
Massage Therapist
—
FL
Other
Enumeration date
05/30/2020
Last updated
05/27/2022
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