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

MYRTLE RIDGE FAMILY MEDICINE, PA

Active Organization

Family Medicine · LUTZ, FL

Registration Details

NPI Number
1427195809
Provider Type
Organization
NPI Issued
Feb 1, 2007 (19.245312930018 yrs)
Last Updated
Jan 10, 2013
License
ME0056971 (FL)

Practice Information

Address
1539 DALE MABRY HWY
102
LUTZ, FL, 335483008
Browse FL providers · Browse ZIP 33548
Phone
8139097102
Fax
8139090199
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in LUTZ, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.