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

Jack Lund DO PA

Organization General Practice Physician · NPI 1417148503

Jack Lund DO PA is a General Practice Physician in Port Richey, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6545 Ridge Rd Ste 1
Port Richey, FL 34668-6865
Phone: (727) 843-8688
Fax: (727) 841-8300
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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 · Licence OS 0001626 (FL)

Record details

NPI number1417148503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Lund — Owner · (727) 843-8688
NPI enumeratedAugust 5, 2007
Last updated in NPPESAugust 5, 2007
Mailing address6545 Ridge Rd Ste 1, Port Richey, FL 34668-6865

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