Mclean, Tina

Mclean, Tina is an individual health care provider with primary practice located at 1006 West Pleasant Street , Avon Park FL 33825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mclean, Tina can be contacted via phone (863) 453-3121.

Contact Information

Primary practice address
1006 West Pleasant Street Avon Park FL 33825
Phone: (863) 453-3121
Fax: (863) 452-2823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2086 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2086 Florida

Profile Details

NPI number 1508803925
LBN Legal business name Mclean, Tina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 29th, 2019 - about 5 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 1508803925 NPPES
Other P00226673 RAILROAD MEDICARE

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