Provider Demographics
NPI:1295050193
Name:MCLAIN, JOHN OLIVER JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:OLIVER
Last Name:MCLAIN
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 SW 34TH AVE # 905-153
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4432
Mailing Address - Country:US
Mailing Address - Phone:386-466-2399
Mailing Address - Fax:
Practice Address - Street 1:3101 SW 34TH AVE # 905-153
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4432
Practice Address - Country:US
Practice Address - Phone:386-466-2399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4456142084P0800X
NY2821652084P0800X
FLME 1157942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry