| Mc Medical Llc | |
|
12582 Us Highway 19 Hudson FL 34667 | |
| (479) 258-2080 | |
| Not Available |
| Full Name | Mc Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 12582 Us Highway 19, Hudson, Florida |
| Authorized Official Name and Position | Richard Henry (ENROLLMENT MANAGER) |
| Authorized Official Contact | 4792582080 |
| 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) 258-2080 | Mc Medical Llc 12582 Us Highway 19 Hudson FL 34667 Ph: (479) 258-2080 |
| NPI Number | 1083325757 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083325757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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