MC MEDICAL LLC - NPI 1629745039 - General Practice in Orlando, FL

Q: What is Mc Medical LLC's NPI number?

The NPI number for Mc Medical LLC is 1629745039. It was assigned to this organization in the NPPES registry on August 24, 2021.

Q: What is Mc Medical LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mc Medical LLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Mc Medical Llc NPPES

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

MC MEDICAL LLC (NPI 1629745039) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since August 2021. The organization lists Soujanya Pulluru, Owner Mc Medical Llc, as its authorized official.

NPPES Registry Identity

NPI1629745039

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMC MEDICAL LLC

Location Address5997 S GOLDENROD RDOrlando, FL 32822-8775

Mailing Address702 Sw 8th St # Ms 0445Bentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331

Phone(407) 382-8880

Fax(407) 382-8935

Organization SubpartNo

Authorized OfficialSoujanya PulluruOwner Mc Medical Llc · (479) 204-1258

Enumeration DateAugust 24, 2021

Last NPPES UpdateApril 4, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1629745039 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

5997 S GOLDENROD RD, Orlando, FL 32822

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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

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