MYRTLE RIDGE FAMILY MEDICINE, PA
Marriage and Family Therapists at Dale Mabry Hwy, Lutz, FL

License number
Florida ME0056971
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: JACK BERGH MD
Title: CEO
Phone: (813) 909-7102
Address
Address
1539 Dale Mabry Hwy, Lutz, FL 33548
National Provider ID: 1427195809
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MYRTLE RIDGE FAMILY MEDICINE, PA at bizstanding.com

Myrtle Ridge Family Medicine, PA

Lutz, FL  -  Tampa, FL

Industry:
Medical Doctor's Office
Doing business as:
Myrtle Ridge Family Medicine
Registration:
May 6, 2005
Phone:
(813) 909-7102 (Phone)
Addresses:
1539 Dl Mabry Hwy, Lutz, FL 33548
102 Myrtle Rdg Rd, Lutz, FL 33549
14743 Morning Dr, Lutz, FL 33559
15887 Sanctuary Dr, Tampa, FL 33647
State ID:
P05000067051
Business type:
Domestic for Profit Corporation
CEO, Chairman:
Jack A. Bergh (CEO, Chairman)

Marriage and Family Therapists licenses in Florida










Other Doctors licenses in Florida