Healthcare Provider Details

I. General information

NPI: 1629714969
Provider Name (Legal Business Name): JOSHUA EMILE MCLEAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 36TH ST
VERO BEACH FL
32960-4862
US

IV. Provider business mailing address

6086 WESTFALL RD
LAKE WORTH FL
33463-5823
US

V. Phone/Fax

Practice location:
  • Phone: 772-778-9621
  • Fax: 772-778-3494
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME182505
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: