Provider Demographics
NPI:1497852958
Name:LINDO, KAREN BETH (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BETH
Last Name:LINDO
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11606 NW 8TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-0408
Mailing Address - Country:US
Mailing Address - Phone:352-222-3929
Mailing Address - Fax:352-384-7752
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-548-6804
Practice Address - Fax:352-384-7752
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3247363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291933800Medicaid
FLQ21852Medicare UPIN
FLU3073Medicare ID - Type UnspecifiedMEDICARE #