Provider Demographics
NPI:1922277367
Name:LINDSEY, EUNICE M
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:M
Last Name:LINDSEY
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 1:650 N WIRICK ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:FL
Mailing Address - Zip Code:32344-2121
Mailing Address - Country:US
Mailing Address - Phone:850-997-7208
Mailing Address - Fax:850-997-3069
Practice Address - Street 1:650 N WIRICK ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:FL
Practice Address - Zip Code:32344-2121
Practice Address - Country:US
Practice Address - Phone:850-997-7208
Practice Address - Fax:850-997-3069
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker