Myrtle Ridge Family Medicine, PA
Myrtle Ridge Family Medicine, PA provides Family Medicine Physician services in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1539 Dale Mabry Hwy 102Lutz, FL 33548-3008 Not confirmed with CMS for 13 years — call before visiting
Phone: (813) 909-7102
Fax: (813) 909-0199
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence ME0056971 (FL) |
|---|
Record details
| NPI number | 1427195809 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Bergh — Ceo · (813) 909-7102 |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | January 10, 2013 |
| Mailing address | Po Box 660, Lutz, FL 33548-0660 |
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