Provider Demographics
NPI:1629058714
Name:LINDO, HERSELL ORLANDO
Entity Type:Individual
Prefix:DR
First Name:HERSELL
Middle Name:ORLANDO
Last Name:LINDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 771286
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-1286
Mailing Address - Country:US
Mailing Address - Phone:352-390-6607
Mailing Address - Fax:352-433-2135
Practice Address - Street 1:6600 SW HIGHWAY 200 STE 300
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-5554
Practice Address - Country:US
Practice Address - Phone:352-390-6607
Practice Address - Fax:352-433-2135
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49511207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270549400Medicaid
A79574Medicare UPIN
FL10124AMedicare PIN
FL10124AMedicare PIN