| Jack Lund DO PA | |
|
6545 Ridge Rd Ste 1 Port Richey FL 34668-6865 | |
| (727) 843-8688 | |
| (727) 841-8300 |
| Full Name | Jack Lund DO PA |
|---|---|
| Speciality | General Practice |
| Location | 6545 Ridge Rd Ste 1, Port Richey, Florida |
| Authorized Official Name and Position | Jack R Lund (OWNER) |
| Authorized Official Contact | 7278438688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Lund DO PA 6545 Ridge Rd Ste 1 Port Richey FL 34668-6865 Ph: (727) 843-8688 | Jack Lund DO PA 6545 Ridge Rd Ste 1 Port Richey FL 34668-6865 Ph: (727) 843-8688 |
| NPI Number | 1417148503 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417148503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS 0001626 (Florida) | Primary |
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