Provider Demographics
NPI:1760118731
Name:DOCTORS URGENT CARE OF LUTZ LLC
Entity Type:Organization
Organization Name:DOCTORS URGENT CARE OF LUTZ LLC
Other - Org Name:URGENT CARE OF NPR, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-388-5922
Mailing Address - Street 1:8416 RIDGE RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-4916
Mailing Address - Country:US
Mailing Address - Phone:813-388-5922
Mailing Address - Fax:
Practice Address - Street 1:8416 RIDGE RD UNIT 2
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-4916
Practice Address - Country:US
Practice Address - Phone:813-388-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care