Organization
MCR HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CACCIA (SUPERVISOR OF CREDENTIALING AND ENR)
(941) 245-0110
Entity
Organization
Contact information
Practice address
1148 E GIBSON ST, ARCADIA, FL 34266-5011
(863) 494-6222
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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