Provider Demographics
NPI:1154926079
Name:MCLAREN, ALEXANDER PHILLIP (PA-C)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:PHILLIP
Last Name:MCLAREN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9847 MONTAGUE ST
Mailing Address - Street 2:
Mailing Address - City:WESTCHASE
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1863
Mailing Address - Country:US
Mailing Address - Phone:248-431-1406
Mailing Address - Fax:
Practice Address - Street 1:6919 N DALE MABRY HWY STE 325
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3860
Practice Address - Country:US
Practice Address - Phone:800-531-1587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9113705363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant