# MED-CARE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750536215
- **Authorized official:** DR. ANANTHY NALLAPILLAI MD (PRESIDENT)
- **Authorized official phone:** (904) 880-5220

## Contact information

- **Practice address:** 3661 CROWN POINT CT, STE A, JACKSONVILLE, FL 32257-5967
- **Practice address phone:** (904) 880-5220
- **Mailing address:** 13105 CRICKET COVE RD N, JACKSONVILLE, FL 32224-8405
- **Mailing address phone:** (904) 880-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | ME0071493 | FL | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 02/08/2010