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Organization
JAISON JOSEPH LUKE NP PA
Active
Organization
JAISON JOSEPH LUKE NP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAISON JOSEPH LUKE APRN (PRESIDENT)
(407) 729-4298
Entity
Organization
Contact information
Practice address
17245 OLD TOBACCO RD, LUTZ, FL 33558-4947
(407) 729-4298
Mailing address
17245 OLD TOBACCO RD, LUTZ, FL 33558-4947
(407) 729-4298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/07/2024
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