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Organization
JACK LUND DO PA
Active
Organization
JACK LUND DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK R LUND DO (OWNER)
(727) 843-8688
Entity
Organization
Contact information
Practice address
6545 RIDGE RD STE 1, PORT RICHEY, FL 34668-6865
(727) 843-8688
(727) 841-8300
Mailing address
6545 RIDGE RD STE 1, PORT RICHEY, FL 34668-6865
(727) 843-8688
(727) 841-8300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS 0001626
FL
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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