Dr Lynn Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR LYNN FAMILY PRACTICE PA

Practice address

1323 W Fletcher Ave
Tampa, FL 33612-3310

Phone

(813) 999-2188

NPI assigned

Mar 15, 2007

Last updated

Sep 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lon David Lynn, D.O.NPI 1497898282

Title

Ceo

Phone

(813) 264-7922

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lon David Lynn, D.O.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1497898282
  Authorized official Same address or phone
• Heather Marie Ponall, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1851540728
  NPD (past)
• Troy Michael Sterk, D.O.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1023003258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1558495382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W FLETCHER AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-999-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LYNN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-264-7922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.