Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | ME70888 | FL |
N | 207RP1001X | Pulmonary Disease | ME70888 | FL |
NPI | 1013958354 |
---|---|
Provider Name | Peter George Lindo |
First Address | Miami, FL 33156-7397 |
Second Address | Hialeah, FL 33016-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 17/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250330100 | (05) | FL |
250330100 | PSN (01) | FL |
31401 | BLUE CROSS BLUE SHIELD (01) | FL |
N220307 | WELLCARE (01) | FL |