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Myrtle Ridge Healthcare Center, Llc
Adult Health Nurse Practitioner in Lutz, Florida
NPI 1376170225

Myrtle Ridge Healthcare Center, Llc is an Adult Health Nurse Practitioner based in Lutz, FL and is specialized in Adult Health. Myrtle Ridge Healthcare Center, Llc practices in Lutz, FL. The NPI Number for Myrtle Ridge Healthcare Center, Llc is 1376170225 and holds a License No. (Florida).

The current practice location address for Myrtle Ridge Healthcare Center, Llc is 1539 Dale Mabry Hwy Ste 102, Lutz, FL and can be reached out via phone at 813-909-7102.

Location: 1539 Dale Mabry Hwy Ste 102, Lutz, FL, 33548-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376170225
Provider Name
Myrtle Ridge Healthcare Center, Llc
Credential
Provider Entity Type
Organization
Address
1539 Dale Mabry Hwy Ste 102, Lutz, FL, 33548-3008
Phone Number
813-909-7102
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102567000 05 FL
institution
Provider Business Practice Location Address Details
Address
1539 Dale Mabry Hwy Ste 102
City
Lutz
State
Florida
Zip
33548-3008
Phone Number
813-909-7102
Fax Number
person
Provider Business Mailing Address Details
Address
1539 Dale Mabry Hwy Ste 102
City
Lutz
State
Florida
Zip
33548-3008
Phone Number
813-909-7102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
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Definition
Definition to come...
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