Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Primary Care LLC

Organization Family Medicine Physician · NPI 1184384349

Beacon Primary Care LLC is a Family Medicine Physician in Lutz, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17819 Tidewater Bay Ln
Lutz, FL 33549-5419
Phone: (813) 447-9249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1184384349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Penrod — Biller · (832) 289-9225
NPI enumeratedDecember 29, 2021
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address17819 Tidewater Bay Ln, Lutz, FL 33549-5419

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