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Contact Information

MICHAEL E LUTZ, MD
4465 BAYMEADOWS RD
SUITE 5
JACKSONVILLE, FL32217
 Phone: 904-737-0111
 Fax: 904-737-4422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MICHAEL E LUTZ · (Male)

NPI # 1982740775
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2007
Last updated 07/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME74101
  • Other 42484 BCBS
Hospital affiliation(s)
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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