Individual
SAMUEL SIDNEY MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 N.WYMORE RD., ORLANDO, FL 32789
(407) 975-2565
Mailing address
828 E WASHINGTON ST, ORLANDO, FL 32801-2904
(321) 543-9131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0035516
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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