Myrtle Ridge Primary Care, P.a
NPI #1700553633 in Lutz, Florida
Provider Information
- NPI Number
- 1700553633
- Entity Type
- Organization
- Organization Name
- Myrtle Ridge Primary Care, P.a
- Primary Specialty
- Case Management
- Enumeration Date
- Aug 27, 2021
- Last Updated
- May 6, 2024
Practice Location
Authorized Official
- Name
- YUDAISY MOGENA
- Title
- OFFICE MANAGER
- Phone
- (813) 909-7102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Case Management |
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