MC MEDICAL LLC
NPI 1013684513
General Practice in Jacksonville, FL

Active since August 24, 2021
7075 COLLINS RD UNIT 100, JACKSONVILLE, FL 32244(904) 365-2555(904) 772-1575 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2021, Aug 24, 2021 (2 updates tracked since 2021).

About Mc Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MC MEDICAL LLC (NPI 1013684513) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since August 2021. The organization lists Soujanya Pulluru, President, as its authorized official.

NPPES Registry Identity

NPI1013684513
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMC MEDICAL LLC
Location Address7075 COLLINS RD UNIT 100Jacksonville, FL 32244-5041
Mailing Address702 Sw 8th St # Ms 0445Bentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331
Fax(904) 772-1575
Organization SubpartNo
Authorized OfficialSoujanya PulluruPresident · (904) 365-2555
Enumeration DateAugust 24, 2021
Last NPPES UpdateJune 16, 20222 updates tracked since enumeration
NPPES CertifiedJune 16, 2022
NPI 1013684513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
7075 COLLINS RD UNIT 100, Jacksonville, FL 32244

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
7075 COLLINS RD UNIT 100
JACKSONVILLE, FL 32244
Optometrist
7075 COLLINS RD UNIT 100
JACKSONVILLE, FL 32244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mc Medical LLC's NPI number?

The NPI number for Mc Medical LLC is 1013684513. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Mc Medical LLC located?

Mc Medical LLC is located at 7075 Collins Rd Unit 100, Jacksonville, FL 32244. The listed phone number is (904) 365-2555.

What is Mc Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mc Medical LLC was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.