MEDICARE: DR. MICHAEL ANDREW MCLEAN M.D.

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	207R00000X	Internal Medicine Physician	ME102667	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073713335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANDREW MCLEAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 850001, DEPT 8340
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32885-0001
Country	:	US
Telephone Number	:	855-536-7277
Fax Number	:	855-830-1722

Provider Business Practice Location Address
First Line	:	1800 N FEDERAL HWY STE 104
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1011
Country	:	US
Telephone Number	:	954-782-0010
Fax Number	:	954-781-2139

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	10/27/2025

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