Provider Demographics
NPI:1629696547
Name:WEIXLER, LINDSEY N
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:N
Last Name:WEIXLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 OCEAN COVE ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-6587
Mailing Address - Country:US
Mailing Address - Phone:772-538-5041
Mailing Address - Fax:
Practice Address - Street 1:1451 SEBASTIAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-8200
Practice Address - Country:US
Practice Address - Phone:772-581-5725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist