Overview
Name: MYRTLE RIDGE PRIMARY CARE, P.A
Specialty: Community Health Clinic/Center
Type of Practice: Organization
Provider/Org: MYRTLE RIDGE PRIMARY CARE PA
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Community Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MYRTLE RIDGE PRIMARY CARE, P.A,1539 DALE MABRY HWY STE 102,LUTZ,FL,335483008,US
Mailing Address: MYRTLE RIDGE PRIMARY CARE, P.A,1539 DALE MABRY HWY STE 102,LUTZ,FL,335483008,US
Contact #
Practice location phone #: 8139097102
Practice location fax #: 8139090199
Mailing address Phone #: 8139097102
Mailing Address fax #: 8139090199
Authorized official Name/Telephone #:YUDAISY, MOGENA, OFFICE MANAGER 8139097102
Misc
Date NPI was obtained: 08/27/2021
Last data data was updated: 08/27/2021
Insurances: