MC MEDICAL LLC NPI 1982293718

NPI Information

  • NPI: 1982293718
  • Provider Name: MC MEDICAL LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1586 BRANAN FIELD RD
    MIDDLEBURG, FL
    ZIP 32068
  • Phone: (904) 406-6303

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NPI Details

MC MEDICAL LLC is a general practice in Middleburg, FL. The provider is 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 MC MEDICAL LLC NPI is 1982293718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1586 BRANAN FIELD RD
MIDDLEBURG, FL
ZIP 32068-427
Phone: (904) 406-6303

The provider's authorized official is Soujanya Pulluru .
The authorized official title is Owner and has the following contact phone number (479) 204-1258.

The enumeration date for this NPI number is 1/15/2021 and was last updated on 1/18/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalNo
3103T00000XPsychologistNo
4106H00000XMarriage & Family TherapistNo
5207Q00000XFamily MedicineNo
6231H00000XAudiologistNo
7363L00000XNurse PractitionerNo
8363LF0000XNurse PractitionerFamilyNo
9101YM0800XCounselorMental HealthNo
10208D00000XGeneral PracticeYes

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: 11/21/2025

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