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Provider Information for 1255336889

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DAVID SEAMAN LINDBERG JR. MD

Gender: MALE

Individual NPI: 1255336889

Calendar   Last Updated:  2019-07-18
  Certification Date: 

Details

Name Value
NPI 1255336889
Enumeration Date 2005-06-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 2588
TARPON SPRINGS, FL 34688-2588
United States

Phone: 727-542-5378 | Fax: 855-631-8853
View Map External Link
Primary Practice Address 5304 MILESTRETCH DRIVE
HOLIDAY, FL 34690
United States

Phone: 727-934-0856 | Fax: 727-938-4604
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other FLORIDA LICENSE FL ME41442
MEDICAID FL 257574400
Other DEA LICENSE FL AL9708655
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME41442