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Individual

MALCOLM C MACLAREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
18133 PATTERSON RD, ODESSA, FL 33556-2214
(813) 496-1075
(813) 249-7762
Mailing address
18133 PATTERSON RD, ODESSA, FL 33556-2214
(813) 496-1075
(813) 249-7762

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS8857
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
OS8857
FL
207XS0106X
Orthopaedic Hand Surgery Physician
OS8857
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
OS8857
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
OS8857
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS8857
FL
207XX0801X
Orthopaedic Trauma Physician
OS8857
FL

Other

Enumeration date
06/14/2005
Last updated
02/04/2009
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