Provider Demographics
NPI:1255336889
Name:LINDBERG, DAVID SEAMAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SEAMAN
Last Name:LINDBERG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2588
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-2588
Mailing Address - Country:US
Mailing Address - Phone:727-542-5378
Mailing Address - Fax:855-631-8853
Practice Address - Street 1:5304 MILESTRETCH DRIVE
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690
Practice Address - Country:US
Practice Address - Phone:727-934-0856
Practice Address - Fax:727-938-4604
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME41442207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257574400Medicaid
FLME41442OtherFLORIDA LICENSE
FLAL9708655OtherDEA LICENSE
FL51192Medicare ID - Type Unspecified
FLAL9708655OtherDEA LICENSE