# MCSHAN MEDICAL LLC

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

## Provider details

- **NPI number:** 1891308805
- **Authorized official:** MR. CHRISTOPHER MCSHAN (DIRECTOR/CEO)
- **Authorized official phone:** (321) 297-5003

## Contact information

- **Practice address:** 2201 S BAY ST STE B, EUSTIS, FL 32726-6300
- **Practice address phone:** (321) 297-5003
- **Practice address fax:** (321) 256-5176
- **Mailing address:** PO BOX 639, PLYMOUTH, FL 32768-0639
- **Mailing address phone:** (321) 297-5003
- **Mailing address fax:** (321) 256-5176

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 08/28/2020