Jaison Joseph Luke Np PA

NPI #1285404939 in Lutz, Florida

Provider Information

NPI Number: 1285404939
Entity Type: Organization
Organization Name: Jaison Joseph Luke Np PA
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Jan 4, 2024
Last Updated: Jan 7, 2024

Practice Location

Address: 17245 OLD TOBACCO RD
City: Lutz
State: Florida
ZIP Code: 33558-4947
Phone: (407) 729-4298

Authorized Official

Name: JAISON JOSEPH LUKE, APRN
Title: PRESIDENT
Phone: (407) 729-4298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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