| Mc Medical Llc | |
|
12100 Lem Turner Rd Unit 100 Jacksonville FL 32218-2304 | |
| (904) 764-2855 | |
| (904) 764-2670 |
| Full Name | Mc Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 12100 Lem Turner Rd Unit 100, Jacksonville, Florida |
| Authorized Official Name and Position | Soujanya Pulluru (PRESIDENT) |
| Authorized Official Contact | 9042149411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Medical Llc 702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 Ph: (479) 204-1258 | Mc Medical Llc 12100 Lem Turner Rd Unit 100 Jacksonville FL 32218-2304 Ph: (904) 764-2855 |
| NPI Number | 1003583428 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003583428 | NPI | - | NPPES |
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