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

MYRTLE RIDGE PRIMARY CARE, P.A

Active Organization

MYRTLE RIDGE PRIMARY CARE, P.A is a General Practice organization located in LUTZ, Florida. NPI 1619504354 is currently active in the NPPES registry. Verify at CMS.

General Practice · LUTZ, FL

Registration Details

NPI Number
1619504354
Provider Type
Organization
NPI Issued
Mar 24, 2020 (6.2461021522124 yrs)
Last Updated
Jan 8, 2026

Practice Information

Address
1539 DALE MABRY HWY STE 102
LUTZ, FL, 335483008
Browse FL providers · Browse ZIP 33548
Phone
8139097102
Fax
8139090199
Primary Specialty
General Practice
208D00000X
Additional Specialty
Psychologist
Additional Specialty
Physician Assistant
Additional Specialty
General Practice

Other General Practice 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.