Expanse Bioinnovation, LLC
Expanse Bioinnovation, LLC is a General Practice Physician in Lutz, Florida. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
210 Crystal Grove BlvdLutz, FL 33548-6460
Phone: (813) 364-6522
Fax: (813) 364-6522
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1891651717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Mansavage — Administrator · (813) 230-2625 |
| NPI enumerated | January 5, 2026 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
| Mailing address | 210 Crystal Grove Blvd, Lutz, FL 33548-6460 |
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