Provider Demographics
NPI:1760783674
Name:LYN-P FAMILY CENTER INC.
Entity Type:Organization
Organization Name:LYN-P FAMILY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDEOSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-713-3481
Mailing Address - Street 1:16436 75TH PL N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3048
Mailing Address - Country:US
Mailing Address - Phone:561-713-3481
Mailing Address - Fax:561-798-0379
Practice Address - Street 1:16436 75TH PL N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-3048
Practice Address - Country:US
Practice Address - Phone:561-713-3481
Practice Address - Fax:561-798-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001216600Medicaid
FL001216600Medicaid