Mcmullen, John Laird

Mcmullen, John Laird is an individual health care provider with primary practice located at 801 E Dixie Ave Suite 104, Leesburg FL 34748-7699. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI). Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mcmullen, John Laird can be contacted via phone (352) 365-2583.

Contact Information

Primary practice address
801 E Dixie Ave Suite 104 Leesburg FL 34748-7699
Phone: (352) 365-2583
Fax: (352) 728-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 93848 Florida
Allopathic & Osteopathic Physicians / Phlebology 202K00000X ME93848 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 93849 Florida
Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI) 207RM1200X 93848 Florida

Profile Details

NPI number 1891998498
LBN Legal business name Mcmullen, John Laird
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Feb 24th, 2016 - about 10 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 1891998498 NPPES
Florida MEDICAID 000070900
Florida Other P00656356
Florida Other P00656364

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