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NPI Code Detail

MEDICARE: DR. MICHAEL J. MCCLEOD DO

MEDICARE: DR. MICHAEL J. MCCLEOD DO
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
1207RX0202XMedical Oncology PhysicianOS5832FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1830004835OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316920259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J. MCCLEOD DO
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number : 239-278-3224
Provider Business Practice Location Address
First Line : 8981 COLONIAL CENTER DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7816
Country : US
Telephone Number : 239-938-0800
Fax Number : 239-938-0890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 08/06/2022

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