Myrtle Ridge Primary Care, P.a

NPI #1619504354 in Lutz, Florida

Provider Information

NPI Number: 1619504354
Entity Type: Organization
Organization Name: Myrtle Ridge Primary Care, P.a
Primary Specialty: General Practice
Enumeration Date: Mar 24, 2020
Last Updated: Jan 8, 2026

Practice Location

Address: 1539 DALE MABRY HWY STE 102
City: Lutz
State: Florida
ZIP Code: 33548-3008
Phone: (813) 909-7102

Authorized Official

Name: YUDAISY MOGENA PADRON
Title: OWNER
Phone: (813) 909-7102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Physician Assistant	363A00000X
General Practice	208D00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Khavir Ahmed Sharieff, D.O.	General Practice	Lutz	AI Deep Dive
DR. Barbara Maday Calderon Izquierdo, MD	General Practice	Lutz	AI Deep Dive

Organizations

Provider Name	Specialty	City
Trillium Medical Group of Florida	General Practice	Lutz	AI Deep Dive
Wwh Weightloss LLC	General Practice	Lutz	AI Deep Dive
Tampa Family Health Centers, INC	General Practice	Lutz	AI Deep Dive

Want to research this healthcare provider further?