Provider Demographics
NPI:1225841992
Name:DR MAC GROUP LLC
Entity type:Organization
Organization Name:DR MAC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-270-6617
Mailing Address - Street 1:7917 N DUTCH WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34433-5013
Mailing Address - Country:US
Mailing Address - Phone:352-270-6617
Mailing Address - Fax:
Practice Address - Street 1:7917 N DUTCH WAY
Practice Address - Street 2:
Practice Address - City:CITRUS SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34433-5013
Practice Address - Country:US
Practice Address - Phone:352-270-6617
Practice Address - Fax:352-270-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies