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NPI Code Detail

MEDICARE: MCR HEALTH, INC.

MEDICARE: MCR HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1346893260
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCR HEALTH, INC.
Provider Business Mailing Address
First Line : 101 RIVERFRONT BLVD STE 710
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8812
Country : US
Telephone Number : 941-776-4000
Fax Number : 941-845-4963
Provider Business Practice Location Address
First Line : 20360 GATOR LN BLDG 14
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-2802
Country : US
Telephone Number : 941-776-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MELVIN B PRICE
Credential :
Telephone Number : 941-776-4000
Provider Enumeration Date : 07/19/2019
Last Update Date : 11/27/2023

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