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BEACON PRIMARY CARE LLC
NPI 1184384349
Family Medicine in Lutz, FL

Active since December 29, 2021
17819 TIDEWATER BAY LN, LUTZ, FL 33549(813) 447-9249 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beacon Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON PRIMARY CARE LLC (NPI 1184384349) is a healthcare organization registered as a family medicine in Lutz, Florida and active in the NPI registry since December 2021. The organization lists Tyler Penrod, Biller, as its authorized official.

NPPES Registry Identity

NPI1184384349
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON PRIMARY CARE LLC
Location Address17819 TIDEWATER BAY LNLutz, FL 33549-5419
Mailing Address17819 Tidewater Bay LnLutz, FL 33549-5419 · (813) 447-9249
Phone(813) 447-9249
Organization SubpartNo
Authorized OfficialTyler PenrodBiller · (832) 289-9225
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1184384349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17819 TIDEWATER BAY LN, Lutz, FL 33549
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Primary Care LLC's NPI number?

The NPI number for Beacon Primary Care LLC is 1184384349. It was assigned to this organization in the NPPES registry on December 29, 2021.

Where is Beacon Primary Care LLC located?

Beacon Primary Care LLC is located at 17819 Tidewater Bay Ln, Lutz, FL 33549. The listed phone number is (813) 447-9249.

What is Beacon Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Beacon Primary Care LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.