Michael Edward Lutz (NPI# 1982740775, PAC ID# 3072506195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1982740775 |
| PAC ID by PECOS | 3072506195 |
| Professional Enrollment ID | I20040405001831 |
| Full Name | Michael Edward Lutz |
| Address |
4465 Baymeadows Rd Suite 5 Jacksonville FL 32217-4727 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217-4727 |
| Street Address |
4465 BAYMEADOWS RD SUITE 5 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32217-4727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian L Turner Sharpton | Clinical Social Worker | 4465 Baymeadows Rd, Suite 8, Jacksonville, FL 32217-4727 | |
| Nicole V Ninesling | Clinical Psychologist | 4465 Baymeadows Rd, Suite 7, Jacksonville, FL 32217-4727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce I Kristol | Psychologist, Clinical | 2427 University Blvd W, Jacksonville, FL 32217-2001 | |
| Anand S Gupta | General Surgery | 2535 University Blvd W, Jacksonville, FL 32217-2003 | |
| Raul Soto-acosta | Psychiatry | 2520 University W Blvd, Jacksonville, FL 32217-2004 | |
| Jami D Feltner | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Regina Marie Bielawski | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Fidel Garcia | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Steven Warfield | Chiropractic | Lakewood Chiropractic Clinic, Pa | 2222 University Blvd W, Jacksonville, FL 32217-2020 |
| David T Edenfield | Chiropractic | Lakewood Chiropractic Clinic, Pa | 2222 University Blvd W, Jacksonville, FL 32217-2020 |
| Sohrab Afshari | General Surgery | 2311 University Blvd W, Jacksonville, FL 32217-2022 | |
| James Shore | Chiropractic | 2431 University Blvd W, Jacksonville, FL 32217-2037 | |
| Find all physicians in zip 32217 | |||
| City | JACKSONVILLE |
| Zip Code | 32217 |
| Specialty | DERMATOLOGY |
| City + Specialty | JACKSONVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Michael Edward Lutz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.