MICHAEL EDWARD LUTZ


Address: 4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217
Phone: 9047370111

MICHAEL EDWARD LUTZ (NPI# 1982740775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982740775
Entity Type Individual
Full Name MICHAEL EDWARD LUTZ
Credential MD
Practice Address 4465 Baymeadows Rd
Suite 5
Jacksonville
FL 32217
Practice Telephone 9047370111
Practice Fax Number 9047374422
Mailing Telephone 9047370111
Mailing Fax Number 9047374422
Enumeration Date 2007-01-29
Last Update Date 2014-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology ME74101 FL Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
ME74101 FL Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
ME74101 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 42484 01
RAILROAD MEDICARE P00137052 01

Other Providers MICHAEL LUTZ

NPI Name Taxonomy Address Enumeration
1356904627 Michael Lutz Clinic/Center 4131 Day Bridge Pl, Ellenton, FL 34222-7236 2019-04-22
1912125352 Michael Gordon Lutz Occupational Therapist 303 Mulvihill Ave, Redlands, CA 92374 2007-04-23
1659776979 Michael Lutz Day Training, Developmentally Disabled Services 212 2nd St, Lakewood, NJ 08701-3424 2014-10-29
1972856623 Michael T Lutz Occupational Therapy Assistant 2150 Silver Creek Rd, Bullhead City, AZ 86442-8472 2012-10-18
1669749958 Michael Lutz Pharmacist 225 E Ash Ave, Decatur, IL 62526 2011-11-30
1558642645 Michael Lutz Massage Therapist 4600 Union Bay Pl Ne, Seattle, WA 98105-4037 2011-09-01
1467506774 Michael Dennis Lutz Physician Assistant 1940 Briarwood Dr, Hickory, NC 28602-5497 2007-01-23
1215041678 Michael L Lutz Radiology 7340 Shadeland Sta, Suite 200, Indianapolis, IN 46256-3979 2006-08-19
1326020157 Michael D Lutz Urology 1701 South Blvd E, Ste 340, Rochester Hills, MI 48307-6122 2005-11-17

Office Location

Street Address 4465 BAYMEADOWS RD
SUITE 5
City JACKSONVILLE
State FL
Zip Code 32217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457637456 Luz Adriana Owens Nurse Practitioner 4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217-4732 2011-10-23
1912292004 Elliott B Rosenbaum Psyd Pa Community/Behavioral Health 4465 Baymeadows Rd, Suite 7, Jacksonville, FL 32217-4732 2011-06-16
1336387166 Elliott B Rosenbaum Psychologist 4465 Baymeadows Rd, Jacksonville, FL 32217-4732 2009-02-02
1407987035 Marian L Turner-sharpton Social Worker 4465 Baymeadows Rd, Ste 8, Jacksonville, FL 32217-4727 2007-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336605005 Mary Ellen Mccullough-list Behavior Technician 3437 Miruelo Circle North, Jacksonville, FL 32217 2019-02-18
1285131656 Priority One Home Care LLC In Home Supportive Care 7500 Powers Ave Apt 198, Jacksonville, FL 32217 2018-04-11
1407361272 Sharon Williams Home Health 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 2017-12-02
1548779929 Acumed Medical Ltd. Durable Medical Equipment & Medical Supplies 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 2017-09-28
1437685526 Ward Zeigler Behavior Technician 3437 Miruelo Cr. N., Jacksonville, FL 32217 2017-05-10
1538695754 Shilonda Peterson-jackson Technician, Other 3437 Miruelo Cr N, Jacksonville, FL 32217 2017-05-08
1114467834 Louis R. Lothman Counselor 3734 San Viscaya Dr., Jacksonville, FL 32217 2017-02-28
1023490141 A Gentle Touch Home Health Care LLC. Home Health 5991 Chester Avenue, Jacksonville, FL 32217 2015-06-25
1912320334 Christopher Marshall Fuller Developmental Therapist 5132 Edgeware Ct., Jacksonville, FL 32217 2014-01-22
1790040020 Maria R. Tapia Psychologist 7680 Smullian Trail West, Jacksonville, FL 32217 2012-07-12
Find all providers in zip 32217

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457321028 Juan A Rosario-collazo Dermatology 4479 Baymeadows Rd, Jacksonville, FL 32217-4716 2006-01-25
1841825791 Beal Dermatology, Pllc Dermatology 6817 Southpoint Pkwy Ste 101, Jacksonville, FL 32216-6285 2020-03-10
1801379409 Bellavista Dermatology Group LLC Dermatology 3636 University Blvd S, Unit B2, Jacksonville, FL 32216 2018-09-10
1336553619 Precision Dermatology and Skin Surgery Pa Dermatology 1550 Riverside Ave, Jacksonville, FL 32204-4161 2014-06-16
1518232065 Sca Dermatology, LLC Dermatology 915 W Monroe St, S. 101, Jacksonville, FL 32204-1177 2012-03-16
1437389772 Leavitt Medical Associates of Florida Inc Dermatology 4100 Southpoint Dr E, Suite 1, Jacksonville, FL 32216-8017 2009-07-21
1942430285 Leavitt Medical Associates of Florida Inc Dermatology 14810 Old Saint Augustine Rd, Suite 100, Jacksonville, FL 32258-2466 2009-07-21
1366672610 Leavitt Medical Associates of Florida Inc Dermatology 14546 Old Saint Augustine Rd, Suite 407, Jacksonville, FL 32258-5468 2009-07-21
1508092347 James Scott Trimble Dermatology 6890 Belfort Oaks Pl, Jacksonville, FL 32216-6241 2009-06-08
1598753717 Henry Walter Randle Dermatology 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-10-11
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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