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MC MEDICAL LLC
NPI 1275200784
General Practice in Jacksonville, FL

Active since August 24, 2021
11900 ATLANTIC BLVD UNIT 1, JACKSONVILLE, FL 32225(904) 641-8088(904) 641-8032 Get Directions Write a Review

NPPES record last updated: December 7, 2021. 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 1275200784) 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

NPI1275200784
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMC MEDICAL LLC
Location Address11900 ATLANTIC BLVD UNIT 1Jacksonville, FL 32225-2920
Mailing Address702 Sw 8th St # Ms 0445Bentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331
Phone(904) 641-8088
Fax(904) 641-8032
Organization SubpartNo
Authorized OfficialSoujanya PulluruPresident · (904) 641-8088
Enumeration DateAugust 24, 2021
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1275200784 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
11900 ATLANTIC BLVD UNIT 1, Jacksonville, FL 32225
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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 3

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

WH FL OPTOMETRY PLLC
Optometrist
11900 ATLANTIC BLVD UNIT 1
JACKSONVILLE, FL 32225
Duval County (904) 641-8088
VICTOR LEE CHOU DMD
Dentist (General Practice)
11900 ATLANTIC BLVD UNIT 1
JACKSONVILLE, FL 32225
Duval County (479) 371-2094
WH FL DENTAL PLLC
Dentist
11900 ATLANTIC BLVD UNIT 1
JACKSONVILLE, FL 32225
Duval County (904) 641-8088

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 1275200784. 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 11900 Atlantic Blvd Unit 1, Jacksonville, FL 32225. The listed phone number is (904) 641-8088.

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 December 7, 2021. 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.