Beacon Primary Care LLC

NPI #1184384349 in Lutz, Florida

Provider Information

NPI Number: 1184384349
Entity Type: Organization
Organization Name: Beacon Primary Care LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 17819 TIDEWATER BAY LN
City: Lutz
State: Florida
ZIP Code: 33549-5419
Phone: (813) 447-9249

Authorized Official

Name: TYLER PENROD
Title: BILLER
Phone: (832) 289-9225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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