# 1 NATION MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1891258828
- **Authorized official:** MR. RICHARD E MCKAY (PRESIDENT)
- **Authorized official phone:** (813) 335-3476

## Contact information

- **Practice address:** 13902 N DALE MABRY HWY STE 204, TAMPA, FL 33618-2452
- **Practice address phone:** (813) 335-3476
- **Mailing address:** 13902 N DALE MABRY HWY STE 204, TAMPA, FL 33618-2452
- **Mailing address phone:** (813) 335-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 06/05/2019