MEDICARE: WILLIAM P MCLEOD MD

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	207X00000X	Orthopaedic Surgery Physician	ME35519	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	200014072	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	64422	OTHER	FL	BLUE CROSS BLUE SHIELD
2	004597	OTHER	FL	FLORIDA HEALTH CARE
3	0500350	OTHER	FL	GHI
5	T8467	OTHER	FL	PRINCIPAL
6	4087496	OTHER	FL	AETNA

General Provider Information

NPI Number	:	1558355917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P MCLEOD MD

Provider Business Mailing Address
First Line	:	504 PALMETTO ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7325
Country	:	US
Telephone Number	:	386-424-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 PALMETTO ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7325
Country	:	US
Telephone Number	:	386-424-9601
Fax Number	:

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	03/07/2023

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Directions to “ WILLIAM P MCLEOD MD” Practice Location

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