Provider Demographics
NPI:1396365466
Name:LYNCH, SETH TERRENCE (PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:TERRENCE
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ROSERY RD NE APT 212
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1453
Mailing Address - Country:US
Mailing Address - Phone:727-560-5872
Mailing Address - Fax:
Practice Address - Street 1:12490 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-2700
Practice Address - Country:US
Practice Address - Phone:727-582-2079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-19
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMD520216146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic