| Mc Medical Llc | |
|
5997 S Goldenrod Rd Orlando FL 32822-8775 | |
| (407) 382-8880 | |
| (407) 382-8935 |
| Full Name | Mc Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 5997 S Goldenrod Rd, Orlando, Florida |
| Authorized Official Name and Position | Soujanya Pulluru (OWNER MC MEDICAL LLC) |
| Authorized Official Contact | 4792041258 |
| 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 5997 S Goldenrod Rd Orlando FL 32822-8775 Ph: (407) 382-8880 |
| NPI Number | 1629745039 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 04/04/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629745039 | NPI | - | NPPES |
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