Mclanahan, Michelle

Mclanahan, Michelle is an individual health care provider with primary practice located at 8075 Gate Parkway West Ste 305, Jacksonville FL 32216. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mclanahan, Michelle can be contacted via phone (904) 296-2992.

Contact Information

Primary practice address
8075 Gate Parkway West Ste 305 Jacksonville FL 32216
Phone: (904) 296-2992
Fax: (904) 296-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME69467 Florida

Profile Details

NPI number 1245221605
LBN Legal business name Mclanahan, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245221605 NPPES
Florida MEDICAID 379135100

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