MC MEDICAL LLC; NPI #1750091815

Contact Information

MC MEDICAL LLC

2600 JAMES L REDMAN PKWY
PLANT CITY, FL 33566

Phone: 813-359-5940
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for MC MEDICAL LLC

NPI Number	`1750091815`
LBN Legal business name	MC MEDICAL LLC
Authorized official	SOUJANYA PULLURU - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/30/2022
Last updated	11/30/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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