Organization
MCR HEALTH, INC.
Active
Other names
Advanced Specialty Institute Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT AND CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 304-3971
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8823
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029561224
—
FL
05
—
029561225
—
FL
05
—
106152601
—
FL
Enumeration date
08/17/2006
Last updated
06/10/2026
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