MC MEDICAL LLC – NPI #1811607005
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MC MEDICAL LLC is a provider located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1811607005 to MC MEDICAL LLC on November 29, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MC MEDICAL LLC below.

NPI Profile for
MC MEDICAL LLC

NPI Number
1811607005
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MC MEDICAL LLC
Primary location
3491 34 ST S
SAINT PETERSBURG, FL 33711
Phone: (479) 258-2080 Fax:
Mailing address
702 SW 8TH ST # MS 0445
BENTONVILLE, AR 72716-0445
Phone: (479) 258-2080 Fax:
Organization Subpart
No
Authorized Official
SOUJANYA PULLURU
OWNER
Phone: (630) 545-4046
Updated
Certification Date
Nov 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
363L00000X
- Nurse Practitioner

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.