Provider Demographics
NPI:1407030315
Name:DIMITRIOS LINTZERIS, DO, PA
Entity Type:Organization
Organization Name:DIMITRIOS LINTZERIS, DO, PA
Other - Org Name:THE LINTZERIS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:P
Authorized Official - Last Name:LINTZERIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-706-5920
Mailing Address - Street 1:999 BRICKELL BAY DR
Mailing Address - Street 2:APT 808
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 N FEDERAL HWY
Practice Address - Street 2:SUITE 207-8
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1034
Practice Address - Country:US
Practice Address - Phone:561-706-5920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care