MEDICARE: AB TOTAL HEALTH

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1790150217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB TOTAL HEALTH

Provider Business Mailing Address
First Line	:	4401 N ANDREWS AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-3917
Country	:	US
Telephone Number	:	904-600-1828
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 N ANDREWS AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-3917
Country	:	US
Telephone Number	:	904-600-1828
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JACOB MCCLEAN
Credential	:
Telephone Number	:	954-368-0537

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

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Directions to “AB TOTAL HEALTH ” Practice Location

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