Mc Medical LLC

NPI #1780320234 in Brandon, Florida

Provider Information

NPI Number: 1780320234
Entity Type: Organization
Organization Name: Mc Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: May 9, 2022
Last Updated: May 9, 2022

Practice Location

Address: 11108 CAUSEWAY BLVD
City: Brandon
State: Florida
ZIP Code: 33511
Phone: (813) 688-9416

Authorized Official

Name: SOUJANYA PULLURU
Title: OWNER
Phone: (630) 545-4046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Psychologist	103T00000X
Social Worker	104100000X
General Practice	208D00000X
Audiologist	231H00000X
Family Medicine	207Q00000X	Primary

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