JACK LUND DO PA
NPI 1417148503
General Practice in Port Richey, FL

Active since August 05, 2007
6545 RIDGE RD STE 1, PORT RICHEY, FL 34668(727) 843-8688(727) 841-8300 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jack Lund Do Pa NPPES

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

JACK LUND DO PA (NPI 1417148503) is a healthcare organization registered as a general practice in Port Richey, Florida and active in the NPI registry since August 2007. The organization lists Jack R Lund, Owner, as its authorized official.

NPPES Registry Identity

NPI1417148503
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACK LUND DO PA
Location Address6545 RIDGE RD STE 1Port Richey, FL 34668-6865
Mailing Address6545 Ridge Rd Ste 1Port Richey, FL 34668-6865 · (727) 843-8688 · Fax (727) 841-8300
Fax(727) 841-8300
Organization SubpartNo
Authorized OfficialJack R LundOwner · (727) 843-8688
Enumeration DateAugust 5, 2007
NPI 1417148503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · OS 0001626
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6545 RIDGE RD STE 1, Port Richey, FL 34668

Other Identifiers 1

Medicare PINK4669FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Jack Lund Do PA's NPI number?

The NPI number for Jack Lund Do PA is 1417148503. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Jack Lund Do PA located?

Jack Lund Do PA is located at 6545 Ridge Rd Ste 1, Port Richey, FL 34668. The listed phone number is (727) 843-8688.

What is Jack Lund Do PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jack Lund Do PA was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.