MCC Wellness Group, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MCC WELLNESS GROUP, LLC.

Practice address

6120 Winkler Rd Ste G
Fort Myers, FL 33919-8192

Phone

(239) 270-5863

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexa Valdes

Title

Ceo

Phone

(239) 270-5863

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1205507456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD STE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198192",
            "telephone_number": "239-270-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD STE G",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198192",
            "telephone_number": "239-270-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC WELLNESS GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-270-5863"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC RV for Growth LLC
• Padmanie Davie McAnulty, PHARMD
• Kendrick D McArthur, D.O
• David William McBreen, RPH
• Kristina Marie Hutchinson McBride, LPC
• Matthew Edward McCabe I, D.C.
• Timothy Allan McCan, O.D.
• April Lynn McCann, APRN
• Colleen Marie McCarthy, CSWR(N.Y. 037636) MS
• Margery McCarthy, BA-CLN

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.