Active NPI
Michael McLean and Friends
- Case Manager/Care Coordinator
- Gainesville, FL
National Provider Identifier
1609029636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- MICHAEL MCLEAN AND FRIENDS
- Practice address
- 1135 NW 23Rd Ave Ste P
Gainesville, FL 32609-3450 - Phone
- (352) 378-8286
- Fax
- (352) 378-4028
- NPI assigned
- Nov 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Bryan McLean
- Title
- Owner
- Phone
- (352) 378-8286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
1135 NW 23Rd Ave Ste P
Gainesville, FL 32609-3450
Mailing address
1135 NW 23Rd Ave
Ste P
Gainesville, FL 32609
Phone (352) 378-8286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693622900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1135 NW 23rd Ave
Ste P
Gainesville, FL 32609
Phone (352) 378-8286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225756800000",
"number": "1609029636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 NW 23RD AVE",
"address_2": "STE P",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32609",
"telephone_number": "352-378-8286",
"fax_number": "352-378-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 NW 23RD AVE STE P",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093450",
"telephone_number": "352-378-8286",
"fax_number": "352-378-4028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL MCLEAN AND FRIENDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-378-8286",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693622900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.