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NPI Code Detail

MEDICARE: THOMAS LUTFEY

MEDICARE: THOMAS LUTFEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS26272FL

General Provider Information

NPI Number : 1417122300
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS LUTFEY
Provider Business Mailing Address
First Line : 13628 W STATE ROAD 84
Second Line :
City : DAVIE
State : FL
Zip : 33325-5301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N COMMERCE PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3959
Country : US
Telephone Number : 786-362-8280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 08/29/2023

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Directions to “ THOMAS LUTFEY ” Practice Location

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