Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS8857 | FL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | OS8857 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | OS8857 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS8857 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | OS8857 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OS8857 | FL |
N | 207XX0801X | Orthopaedic Trauma Surgeon | OS8857 | FL |
NPI | 1801891270 |
---|---|
Provider Name | Malcolm C Maclaren |
First Address | Odessa, FL 33556-2214 |
Second Address | Odessa, FL 33556-2214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 04/02/2009 |