Individual
RAYMOND E. MCLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3163 64TH WAY N, ST PETERSBURG, FL 33710-2456
(727) 365-9509
Mailing address
3163 64TH WAY N, ST PETERSBURG, FL 33710-2456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME12381
FL
208D00000X
General Practice Physician
ME0012381
FL
Other
Enumeration date
05/18/2006
Last updated
06/29/2024
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