Organization · Type 2 NPI

Jack Lund Do PA

General Practice Physician · Port Richey, FL

NPI number 1417148503 Active

Practice location

6545 Ridge Rd Ste 1
Port Richey, FL 34668-6865

Fax (727) 841-8300

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XOS 0001626 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1417148503

Jack Lund Do PA's National Provider Identifier is 1417148503, issued on Aug 5, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port Richey, FL. The record was last updated on Aug 5, 2007.