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Organization
ST . LUKES AT THE VILLAGES, PA
Active
Organization
ST . LUKES AT THE VILLAGES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H LINDBERG (AUTHORIZED OFFICIAL)
(727) 943-3111
Entity
Organization
Contact information
Practice address
1050 OLD CAMP RD, BUILDING #230, THE VILLAGES, FL 32162-1762
(352) 350-8484
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111
(727) 943-3334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/16/2012
Last updated
03/25/2025
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