JACK LUND DO PA – NPI #1417148503
General Practice

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

JACK LUND DO PA is a provider located in PORT RICHEY, FL. NPPES has assigned the NPI number 1417148503 to JACK LUND DO PA on August 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK LUND DO PA below.

NPI Profile for
JACK LUND DO PA

NPI Number
1417148503
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACK LUND DO PA
Primary location
6545 RIDGE RD STE 1
PORT RICHEY, FL 34668-6865
Phone: (727) 843-8688 Fax: (727) 841-8300
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK LUND
OWNER
Phone: (727) 843-8688
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
FL OS 0001626

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.