Healthcare Provider Details

I. General information

NPI: 1417847955
Provider Name (Legal Business Name): NADIA TRUDY-ANN MCLEAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 N 35TH AVE FL 4
HOLLYWOOD FL
33021-5402
US

IV. Provider business mailing address

620 S PARK RD APT 2-13
HOLLYWOOD FL
33021-8507
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-5324
  • Fax:
Mailing address:
  • Phone: 954-243-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number43571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: