Provider Demographics
NPI:1235179367
Name:LINDSAY, PHILLIP MICHAEL (RRT)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:MICHAEL
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1758 MARYLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-3324
Mailing Address - Country:US
Mailing Address - Phone:727-418-8617
Mailing Address - Fax:727-494-1468
Practice Address - Street 1:1758 MARYLAND AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-3324
Practice Address - Country:US
Practice Address - Phone:727-418-8617
Practice Address - Fax:727-289-5781
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRT56362279H0200X, 2279P1004X, 2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist