Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mc Medical LLC

Organization Psychologist · NPI 1003583428

Mc Medical LLC is a Psychologist in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12100 Lem Turner Rd Unit 100
Jacksonville, FL 32218-2304
Phone: (904) 764-2855
Fax: (904) 764-2670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Audiologist Taxonomy 231H00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1003583428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soujanya Pulluru — President · (904) 214-9411
NPI enumeratedAugust 24, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address702 Sw 8th St # Ms 0445, Bentonville, AR 72716-0445

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