Mcloone, Alicia Gamble

Mcloone, Alicia Gamble is an individual health care provider with primary practice located at 785 Primera Blvd Suite# 1031, Lake Mary FL 32746-2124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcloone, Alicia Gamble can be contacted via phone (407) 834-8111.

Contact Information

Primary practice address
785 Primera Blvd Suite# 1031 Lake Mary FL 32746-2124
Phone: (407) 834-8111
Fax: (407) 708-1985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X PA9105190 Florida

Profile Details

NPI number 1568793297
LBN Legal business name Mcloone, Alicia Gamble
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Jun 11th, 2015 - about 9 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 1568793297 NPPES
Florida MEDICAID 002015600

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