Provider Demographics
NPI:1447282074
Name:MCLEAN, DAVID ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANTHONY
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100294 1600 SW ARCHER ROAD ROOM N3-9
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-8761
Mailing Address - Country:US
Mailing Address - Phone:352-273-7580
Mailing Address - Fax:352-392-3498
Practice Address - Street 1:UF HEALTH WOMENS CENTER - MEDICAL PLAZA
Practice Address - Street 2:2000 SW ARCHER ROAD, FOURTH FLOOR
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608
Practice Address - Country:US
Practice Address - Phone:352-265-8200
Practice Address - Fax:352-627-4375
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC141199207VM0101X
FLME141104207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA200720Medicare PIN