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MYRTLE RIDGE PRIMARY CARE, P.A 1700553633

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:

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