Provider Demographics
NPI:1841213071
Name:LINDO, OSCAR JAVIER (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:JAVIER
Last Name:LINDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6463 OREGON JAY RD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6311
Mailing Address - Country:US
Mailing Address - Phone:352-596-6114
Mailing Address - Fax:352-596-0784
Practice Address - Street 1:6463 OREGON JAY RD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6311
Practice Address - Country:US
Practice Address - Phone:352-596-6114
Practice Address - Fax:352-596-0784
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82781208600000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276577200Medicaid
FLE6537XMedicare PIN
FL276577200Medicaid
H51940Medicare UPIN