Organization
MCR HEALTH, INC.
Active
Other names
AMA Health Gulf Coast Pedaitrics
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT AND CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
5305 E STATE ROAD 64, BRADENTON, FL 34208-5534
(941) 747-2242
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/12/2023
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