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Contact Information

GARY M MCCLERNAN, DPM
14741 WATERWAY DR
HUDSON, FL34667
 Phone: 727-432-1919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GARY M MCCLERNAN · (Male)

NPI Number 1154393445
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/02/2006
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO2389
  • FL Medicaid 019585300
  • AL Other DS9118 RR MCARE IND PTAN
  • FL Other FS503A GROUP MCARE PTAN
  • FL Other DS9118 GROUP RR
  • FL Other 65368Z INDIVIDUAL MCARE PTAN
  • FL Other PO2389 STATE LICENSE
Hospital affiliation(s) Not Available
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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