Mc Medical Llc | |
2600 James L Redman Pkwy Plant City FL 33566 | |
(813) 359-5940 | |
Not Available |
Full Name | Mc Medical Llc |
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Speciality | General Practice |
Location | 2600 James L Redman Pkwy, Plant City, Florida |
Authorized Official Name and Position | Soujanya Pulluru (OWNER) |
Authorized Official Contact | 6305454046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mc Medical Llc 702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 Ph: (479) 258-2080 | Mc Medical Llc 2600 James L Redman Pkwy Plant City FL 33566 Ph: (813) 359-5940 |
NPI Number | 1750091815 |
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Provider Enumeration Date | 11/30/2022 |
Last Update Date | 11/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750091815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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