Mc Medical LLC

NPI #1003583428 in Jacksonville, Florida

Provider Information

NPI Number: 1003583428
Entity Type: Organization
Organization Name: Mc Medical LLC
Primary Specialty: General Practice
Enumeration Date: Aug 24, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 12100 LEM TURNER RD UNIT 100
City: Jacksonville
State: Florida
ZIP Code: 32218-2304
Phone: (904) 764-2855

Authorized Official

Name: SOUJANYA PULLURU
Title: PRESIDENT
Phone: (904) 214-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Social Worker	104100000X
Audiologist	231H00000X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

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