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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891998498 | NPPES |
Florida | MEDICAID | 000070900 | |
Florida | Other | P00656356 | |
Florida | Other | P00656364 |
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