MEDICARE: MR. SILAS MOJAVE MCCLELLAN LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA 38166	FL

General Provider Information

NPI Number	:	1518135623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SILAS MOJAVE MCCLELLAN LMT

Provider Business Mailing Address
First Line	:	5170 SW 40TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33314-5767
Country	:	US
Telephone Number	:	754-422-7809
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 S ANDREWS AVE STE 410
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3219
Country	:	US
Telephone Number	:	954-941-2679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	02/12/2008

Similar Medicare Providers

1356596167 — NEUROSURGICAL ASSOCIATES OF SOUTH FLORIDA
Practice Location Address:

150 S ANDREWS AVE STE 410
POMPANO BEACH, FL
33069-3219

Practice Phone: 561-845-7078
Practice Fax: 561-845-8030

1972632677 — MARIE F BRACCIA P.T.
Practice Location Address:

91 PARKWOOD DR
MASTIC BEACH, NY
11951-3219

Practice Phone: 631-281-3121
Practice Fax:

1982899779 — LUCY M NOTARO LCSW
Practice Location Address:

15850 95TH ST
HOWARD BEACH, NY
11414-3219

Practice Phone: 917-676-4571
Practice Fax: 718-848-0410

1962687798 — MRS. RHONDA SHAW SMILLIE LPCC
Practice Location Address:

121 N LUCIA AVE
REDONDO BEACH, CA
90277-3219

Practice Phone: 662-801-4947
Practice Fax: 662-236-3071

1861629248 — TANYA PANICHPAKDEE DPM
Practice Location Address:

357 CALLE MARSEILLE
LONG BEACH, CA
90814-3219

Practice Phone: 562-852-8510
Practice Fax:

1538472485 — PSYCHOLOGICAL FITNESS ASSOCIATES, LLC
Practice Location Address:

21903 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL
32413-3219

Practice Phone: 850-588-7089
Practice Fax: 850-250-5759

Directions to “ MR. SILAS MOJAVE MCCLELLAN LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.