Life Medical Group, LLC

NPI #1922441054 in Lutz, Florida

Provider Information

NPI Number
1922441054
Entity Type
Organization
Organization Name
Life Medical Group, LLC
Primary Specialty
General Practice
Enumeration Date
Apr 8, 2013
Last Updated
Mar 6, 2016

Practice Location

Address
14614 LIVINGSTON AVE
City
Lutz
State
Florida
ZIP Code
33559-3101
Phone
(813) 972-7979

Authorized Official

Name
DR. ADRIANNE MARIA RIDLEY-PAYNE, M.D.
Title
OWNER
Phone
(813) 972-7979

Specialties & Taxonomy Codes

Specialty
General Practice

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