Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME136463 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME136463 | FL |
NPI | 1013317460 |
---|---|
Provider Name | Dr. Scott Forrester Lindsey |
First Address | Palm Harbor, FL 34685-3493 |
Second Address | Tampa, FL 33609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2014 |
Last Update Date | 01/08/2019 |