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

Myrtle Ridge Healthcare Center, LLC

Organization Adult Health Nurse Practitioner · NPI 1376170225

Myrtle Ridge Healthcare Center, LLC is an Adult Health Nurse Practitioner in Lutz, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

1539 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3008
Phone: (813) 909-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1376170225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Javier Gutierrez — Executive Officer · (813) 997-9543
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020
Mailing address1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3008

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