National Provider Identifier Database

JOHN L MCMULLEN III, MD – NPI #1891998498
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

JOHN L MCMULLEN III, MD
801 E DIXIE AVE
SUITE 104
LEESBURG, FL34748-7699
Phone: 352-365-2583
Fax: 352-728-6749
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Diagnostic Radiology 2085R0202X
Magnetic Resonance Imaging (MRI) 207RM1200X
Phlebology 202K00000X

* Indicates primary specialty

NPI Profile & details for JOHN L MCMULLEN III

NPI Number 1891998498
Credentials MD
Entity Individual
Enumeration date 06/09/2007
Last updated 02/24/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • FL License #: 93848
  • FL License #: 93849
  • FL License #: ME93848
  • FL Medicaid: 000070900
  • FL Other: P00656356 RR MEDICARE LMIV
  • FL Other: P00656364 RR MEDICARE RACF
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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