Individual
MICHAEL J MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2917 EDGEWATER DR, ORLANDO, FL 32804-4413
(407) 834-7776
(407) 834-0973
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078269600
—
FL
Enumeration date
10/31/2005
Last updated
01/26/2011
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