Provider Demographics
NPI:1619468899
Name:MCA MEDICAL CONSULTING & MORE, PLLC
Entity type:Organization
Organization Name:MCA MEDICAL CONSULTING & MORE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-888-6677
Mailing Address - Street 1:5083 NW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5475
Mailing Address - Country:US
Mailing Address - Phone:352-888-6677
Mailing Address - Fax:
Practice Address - Street 1:5083 NW 22ND ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-5475
Practice Address - Country:US
Practice Address - Phone:352-888-6677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3156902363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty