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MC MEDICAL LLC NPI 1780320234


NPI Information

NPI: 1780320234
Provider Name: MC MEDICAL LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11108 CAUSEWAY BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 688-9416
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MC MEDICAL LLC is a family medicine in Brandon, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MC MEDICAL LLC NPI is 1780320234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11108 CAUSEWAY BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 688-9416

The provider's authorized official is Soujanya Pulluru .
The authorized official title is Owner and has the following contact phone number (630) 545-4046.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 5/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4208D00000XGeneral PracticeNo
5231H00000XAudiologistNo
6207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.