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NPI · 1700553633 · NPPES-sourced

Myrtle Ridge Primary Care, P.A

ActiveCase Management Agency
NPI Number
1700553633
Type 2 · Organisation
Taxonomy Code
251B00000X
Contact
(813) 909-7102
Primary practice line
Last Updated
Enumerated
Primary practice addressFL · 33548-3008
1539 Dale Mabry Hwy Ste 102Lutz, FL 33548-3008
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About this NPIWhat this record shows.

NPI 1700553633 is registered to Myrtle Ridge Primary Care, P.A, a healthcare organisation classified as "Case Management Agency" and located at 1539 Dale Mabry Hwy Ste 102 in Lutz, Florida. The organisation's authorised official is Yudaisy Mogena. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Myrtle Ridge Primary Care, P.A accepts. To confirm in-network status with your specific health plan, contact Myrtle Ridge Primary Care, P.A directly at (813) 909-7102.

Frequently asked

Yes. NPI 1700553633 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Case Management Agency is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (813) 909-7102.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Myrtle Ridge Primary Care, P.A is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy251B00000X
Last updated
Enumerated
StatusActive
Partneri
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2 records · same addressOther providers at this location.

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Same specialtyOther Case Management Agency providers in Florida.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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