GARY M MCCLAIN MD PA
Medical Practice at Military Trl, Jupiter, FL

License number
Florida ME0040359
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: GARY M MCCLAIN MD
Title: PRESIDENT
Phone: (561) 744-9399
Address
Address
2055 Military Trl STE 303, Jupiter, FL 33458
National Provider ID: 1558533570
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GARY M. MCCLAIN, M.D., PA

19457 Riverside Dr BLDG 5000 SUITE 205, Jupiter, FL 33469

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 3, 1987
Inactive since:
Oct 9, 1992
State ID:
J76285
Business type:
Florida Profit Corporation
Directors:
Mcclain, Gary M., M.d, 210 Jupiter Lk Blvd, Jupiter, FL (Physical),Gary M. Mcclain President, Treasurer, Secretary, Director, inactive,Kathryn Mcclain Director, inactive
Agent:
Gary Mcclain,19457 Riverside Dr, Jupiter, FL 33469 (Physical)
EIN:
59-2824472

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