MCLANE MEDICAL, INC. (NPI# 1376753632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376753632 |
| Entity Type | Organization |
| Organization Name | MCLANE MEDICAL, INC. |
| Other Organization Name | POSH MEDICAL |
| Practice Address |
140 Gateway Cir Unit 6 Jacksonville FL 32259-4085 |
| Practice Telephone | 9048251772 |
| Practice Fax Number | 9048251740 |
| Mailing Telephone | 9048251772 |
| Mailing Fax Number | 9048251740 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES E. MCLANE (PRESIDENT) |
| Authorized Official Telephone | 9048251772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
HCC6616 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| POSH Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417262288 | Mclane Medical, Inc. | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-08-17 |
| Street Address |
140 GATEWAY CIR UNIT 6 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32259-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
| 1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
| 1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
| Find all providers in zip 32259 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1104218973 | Cardiohealth | Clinic/Center | 3599 University Blvd S Ste 104, Jacksonville, FL 32216-4200 | 2015-03-03 |
| 1386945582 | Barbara Ioannides Rappaport,md,pa | Clinic/Center | 8833 Perimeter Park Blvd Ste 203, Jacksonville, FL 32216-1111 | 2010-11-04 |
| 1245477991 | University of Florida College of Medicine | Clinic/Center | 4539 Beach Blvd, Jacksonville, FL 32207-4738 | 2009-01-17 |
| 1801457296 | Integrity Spine and Orthopedics, LLC | Clinic/Center | 4235 Sunbeam Rd, Jacksonville, FL 32257-6013 | 2019-06-26 |
| 1023405065 | Mayo Clinic | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-16 |
| 1518361393 | Ace Diagnostics LLC | Clinic/Center | 8130 Baymeadows Cir, Suite #109, Jacksonville, FL 32256-1880 | 2014-10-22 |
| 1164677332 | Carolina Pines Medical, PC | Clinic/Center | 3215 Henderson Dr, Jacksonville, NC 28546-5251 | 2008-12-01 |
| 1952551467 | Academic Dermatology Consultants Pa | Clinic/Center | 1514 Nira St, Jacksonville, FL 32207-9702 | 2008-09-22 |
| 1851554612 | Jacksonville Pediatric and Adult Congenital Cardiology | Clinic/Center | 8075 Gate Pkwy W, Suite 203, Jacksonville, FL 32216-3684 | 2008-07-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32259 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.