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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
1133V00000XRegistered Dietitian
2133VN1006XMetabolic Nutrition Registered Dietitian
3163WD0400XDiabetes Educator Registered Nurse
4207V00000XObstetrics & Gynecology Physician
5208000000XPediatrics Physician
6207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245511625
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 : 2318 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-5403
Country : US
Telephone Number : 941-714-7150
Fax Number : 941-714-3242
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MELVIN B PRICE
Credential :
Telephone Number : 941-776-4000
Provider Enumeration Date : 08/30/2011
Last Update Date : 01/14/2025

Similar Medicare Providers

1275829970 — MCR HEALTH, INC.
Practice Location Address:
2318 MANATEE AVE W
BRADENTON, FL
34205-5403
Practice Phone: 941-776-4000
Practice Fax: 941-776-4010
1720638083 — VELMA GODWIN
Practice Location Address:
3420 59TH AVENUE DR E
BRADENTON, FL
34203-5403
Practice Phone: 941-720-7421
Practice Fax:
1811970726 — DR. M. MOHSIN SHAH M.D.
Practice Location Address:
200 3RD AVE W STE 200
BRADENTON, FL
34205-8633
Practice Phone: 941-794-3118
Practice Fax: 941-782-2017
1588667901 — DR. KOTESHWAR R TELUKUNTLA MD
Practice Location Address:
3630 MANATEE AVE W , STE B
BRADENTON, FL
34205-2557
Practice Phone: 941-792-1881
Practice Fax: 941-795-3924
1265434542 — MICHAEL L LEWIS MD
Practice Location Address:
2318 MANATEE AVE W
BRADENTON, FL
34205-5432
Practice Phone: 941-714-7150
Practice Fax: 941-741-3242
1740284785 — WEST COAST - SOUTHERN MEDICAL SERVICE INC
Practice Location Address:
934 14TH ST W
BRADENTON, FL
34205-6646
Practice Phone: 941-748-7148
Practice Fax: 941-748-8520

Directions to “MCR HEALTH, INC. ” Practice Location

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