Healthcare Provider Details

I. General information

NPI: 1932013927
Provider Name (Legal Business Name): MELANIE MCCLEARY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 PINELLAS ST STE 400
CLEARWATER FL
33756-3356
US

IV. Provider business mailing address

8671 NW 17TH CT
PEMBROKE PINES FL
33024-3325
US

V. Phone/Fax

Practice location:
  • Phone: 727-445-1911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number9122390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: