MEDICARE: MACLAREN SPORTS MED INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XP3100X	Pediatric Orthopaedic Surgery Physician
2	207XS0106X	Orthopaedic Hand Surgery Physician
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
4	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
5	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
6	207XX0801X	Orthopaedic Trauma Physician
7	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1508019142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACLAREN SPORTS MED INC

Provider Business Mailing Address
First Line	:	18133 PATTERSON RD
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2214
Country	:	US
Telephone Number	:	813-496-1075
Fax Number	:

Provider Business Practice Location Address
First Line	:	6918 GUNN HWY
Second Line	:	STE C
City	:	TAMPA
State	:	FL
Zip	:	33625-3853
Country	:	US
Telephone Number	:	813-496-1075
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MALCOLM CHRISTOPHER MACLAREN
Credential	:	D.O.
Telephone Number	:	813-496-1075

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	01/02/2012

Similar Medicare Providers

1497060487 — DR. MARK NICHOLAS PERENICH D.O.
Practice Location Address:

6536 GUNN HWY.
TAMPA, FL
33625-3853

Practice Phone: 813-803-0029
Practice Fax: 813-949-8919

1922370808 — SCOTT SPORTS MED
Practice Location Address:

6918 GUNN HWY , STE C
TAMPA, FL
33625-3853

Practice Phone: 813-855-8450
Practice Fax: 813-855-7540

1730445743 — NADIJDA TANNOUS BASSIL M.D.
Practice Location Address:

6918 GUNN HWY
TAMPA, FL
33625-3853

Practice Phone: 813-891-6310
Practice Fax: 813-891-6889

1376974097 — ELITE ORTHOPEDIC SPECIALISTS, LLC
Practice Location Address:

6918 GUNN HWY , SUITE E
TAMPA, FL
33625-3853

Practice Phone: 815-852-2500
Practice Fax: 813-852-2602

1376920421 — AMERICAN NEUROLOGICAL SPECIALISTS, LLC
Practice Location Address:

6918 GUNN HWY , SUITE E
TAMPA, FL
33625-3853

Practice Phone: 813-857-5630
Practice Fax:

1679943971 — HUTCHISON SPORTS MEDICINE & ORTHOPEDICS LLC
Practice Location Address:

6918 GUNN HWY , SUITE C
TAMPA, FL
33625-3853

Practice Phone: 205-259-3991
Practice Fax:

Directions to “MACLAREN SPORTS MED INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.