MEDICARE: MCLEOD ORTHOPEDIC CLINIC PA

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	207X00000X	Orthopaedic Surgery Physician	ME35519	FL

General Provider Information

NPI Number	:	1598724098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLEOD ORTHOPEDIC CLINIC PA

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	:	OFFICER
Name	:	DR. WILLIAM PLAYER MCLEOD
Credential	:	MD
Telephone Number	:	386-424-9601

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	07/01/2009

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Directions to “MCLEOD ORTHOPEDIC CLINIC PA ” Practice Location

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