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25201 Wesley Chapel Blvd Lutz FL 33559-7201 | |
| (407) 798-8800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 25201 Wesley Chapel Blvd, Lutz, Florida |
| Authorized Official Name and Position | Rebecca Rager (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8449690686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4650 Westway Park Blvd Houston TX 77041-2007 Ph: () - | 25201 Wesley Chapel Blvd Lutz FL 33559-7201 Ph: (407) 798-8800 |
| NPI Number | 1780307421 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780307421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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