Jack Lund DO PA

General Practice Physician · Port Richey, FL

Organization Active NPI

NPI number 1417148503

Practice location

6545 Ridge Rd Ste 1
Port Richey, FL 34668-6865
Phone
(727) 843-8688
Fax
(727) 841-8300

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NPI record

NPI
1417148503
Entity type
Organization (Type 2)
Enumeration date
August 5, 2007
Last updated
August 5, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X OS 0001626 FL

Authorized official

Name
Dr. Jack R Lund, DO
Title
Owner
Phone
(727) 843-8688

About Jack Lund DO PA

Jack Lund DO PA is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 6545 Ridge Rd Ste 1, Port Richey, FL 34668-6865. The NPI number 1417148503 was assigned on August 5, 2007 and the record was last updated on August 5, 2007.

Jack Lund DO PA lists a license in the registry: #OS 0001626 (FL) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Jack R Lund, DO, Owner.

Frequently asked questions

What is the NPI number of Jack Lund DO PA?

The NPI number is 1417148503.

What is the phone number of Jack Lund DO PA?

The phone number listed for the practice location is (727) 843-8688.

Where is Jack Lund DO PA located?

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

What is the taxonomy code for Jack Lund DO PA?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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