Provider Demographics
NPI:1639216005
Name:LAWINDY, MADIEY F (MD)
Entity Type:Individual
Prefix:DR
First Name:MADIEY
Middle Name:F
Last Name:LAWINDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:900 N SWALLOWTAIL DR
Mailing Address - Street 2:SUITE # 106
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-6102
Mailing Address - Country:US
Mailing Address - Phone:386-304-1919
Mailing Address - Fax:386-304-1918
Practice Address - Street 1:900 N SWALLOWTAIL DR
Practice Address - Street 2:SUITE # 106
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-6102
Practice Address - Country:US
Practice Address - Phone:386-304-1919
Practice Address - Fax:386-304-1918
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME#0053399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics