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1417148503
JACK LUND DO PA
PORT RICHEY, FL
NPI
1417148503
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Entity Type
Organization
Authorized Contact
JACK R LUND
Owner
727-843-8688
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL OS 0001626)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
JACK LUND DO PA
6545 RIDGE RD STE 1
PORT RICHEY, FL 34668-6865
Phone number: 727-843-8688
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Mailing Address
JACK LUND DO PA
6545 RIDGE RD STE 1
PORT RICHEY, FL 34668-6865
Phone number: 727-843-8688
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