Myrtle Ridge Primary Care, P.a
Specialty details in registry · Lutz, FL
At a glance
1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008
NPPES record updated Jan 8, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1539 Dale Mabry Hwy Ste 102Lutz, FL 33548-3008
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 208D00000X
- Enumeration date
- Mar 24, 2020
- Record updated
- Jan 8, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Mental Health Counselor
101YM0800X
Psychologist
103T00000X
Specialty details in registry
208D00000X · Primary
Physician Assistant
363A00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1539 Dale Mabry Hwy Ste 102Lutz, FL 33548-3008
- Phone
- (813) 909-7102
- Fax
- (813) 909-0199
Mailing address
1539 DALE MABRY HWY STE 102LUTZ, FL 335483008
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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