Provider Demographics
NPI:1144239633
Name:PRICE, LORINDA JOY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LORINDA
Middle Name:JOY
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 W TAMPA BAY BLVD APT A107
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1323
Mailing Address - Country:US
Mailing Address - Phone:813-263-3237
Mailing Address - Fax:
Practice Address - Street 1:2424 W TAMPA BAY BLVD APT A107
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1323
Practice Address - Country:US
Practice Address - Phone:813-263-3237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33666208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0385107Medicaid
FL0385107Medicaid