Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH12771 | FL |
N | 207R00000X | Internist | CH12771 | FL |
N | 111NI0900X | Internist | CH12771 | FL |
N | 111NN1001X | Nutrition | CH12771 | FL |
NPI | 1558823443 |
---|---|
Provider Name | Dr. Sarah Irene Marie Lindsey |
First Address | Ormond Beach, FL 32174-6330 |
Second Address | Ormond Beach, FL 32174-9535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2019 |
Last Update Date | 01/04/2019 |