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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL LUTZ

Active Sole Proprietor

MICHAEL LUTZ is a Developmental Disabilities Clinic healthcare provider located in ELLENTON, Florida. NPI 1356904627 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · ELLENTON, FL

Registration Details

NPI Number
1356904627
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2019 (7.3419163423559 yrs)
Last Updated
Apr 22, 2019
Sole Proprietor
Yes

Practice Information

Address
4131 DAY BRIDGE PL
ELLENTON, FL, 342227236
Browse FL providers · Browse ZIP 34222
Phone
7272786205
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.