MYRTLE RIDGE PRIMARY CARE, P.A
NPI 1700553633
Case Management in Lutz, FL

Active since August 27, 2021
1539 DALE MABRY HWY STE 102, LUTZ, FL 33548(813) 909-7102(813) 909-0199 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Dec 19, 2022, Aug 27, 2021 (3 updates tracked since 2021).

About Myrtle Ridge Primary Care, P.a NPPES

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

MYRTLE RIDGE PRIMARY CARE, P.A (NPI 1700553633) is a healthcare organization registered as a case management in Lutz, Florida and active in the NPI registry since August 2021. The organization lists Yudaisy Mogena, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700553633
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameMYRTLE RIDGE PRIMARY CARE, P.A
Location Address1539 DALE MABRY HWY STE 102Lutz, FL 33548-3008
Mailing Address1539 Dale Mabry Hwy Ste 102Lutz, FL 33548-3008 · (813) 909-7102 · Fax (813) 909-0199
Fax(813) 909-0199
Organization SubpartNo
Authorized OfficialYudaisy MogenaOffice Manager · (813) 909-7102
Enumeration DateAugust 27, 2021
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1700553633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
1539 DALE MABRY HWY STE 102, Lutz, FL 33548

Other Identifiers 1

Medicaid111603900FL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Nurse Practitioner (Adult Health)
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Family Medicine
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Physician Assistant
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Nurse Practitioner (Psychiatric/Mental Health)
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
General Practice
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Physician Assistant
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Case Manager/Care Coordinator
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548

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 Myrtle Ridge Primary Care, P.A's NPI number?

The NPI number for Myrtle Ridge Primary Care, P.A is 1700553633. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Myrtle Ridge Primary Care, P.A located?

Myrtle Ridge Primary Care, P.A is located at 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548. The listed phone number is (813) 909-7102.

What is Myrtle Ridge Primary Care, P.A's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

When was this NPI record last updated?

The NPPES record for Myrtle Ridge Primary Care, P.A was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.