Search › Florida › 376J00000X
Avery Mcclenton
NPI 1023699907 · on the registry since 2021
Practice
- Address
- 12 Richardson Rd
Crawfordville, FL 32327 - Phone
- (850) 408-6910
- Organisation at this address
- Iamceo Enterprise Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida