Individual
KEITH DUCHARME MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 ALAMEDA DR S, LAKELAND, FL 33805-2302
(786) 872-1065
Mailing address
PO BOX 91901, LAKELAND, FL 33804-1901
(786) 872-1065
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
14539944Z
FL
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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