| Mcm Accountable Care Organization Llc | |
|
600 Heritage Dr Suite 105 Jupiter FL 33458-3000 | |
| (561) 932-0995 | |
| (561) 932-0997 |
| Full Name | Mcm Accountable Care Organization Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Heritage Dr, Jupiter, Florida |
| Authorized Official Name and Position | Mazin M Shikara (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 5619320995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcm Accountable Care Organization Llc Po Box 69 Jupiter FL 33468-0069 Ph: (561) 932-0995 | Mcm Accountable Care Organization Llc 600 Heritage Dr Suite 105 Jupiter FL 33458-3000 Ph: (561) 932-0995 |
| NPI Number | 1881948677 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881948677 | NPI | - | NPPES |
| ME94252 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94252 (Florida) | Primary |
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