Provider Demographics
NPI:1811461957
Name:LINDSAY ISRAEL, M.D.,P.A.
Entity type:Organization
Organization Name:LINDSAY ISRAEL, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:ISRAEL-GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-568-3949
Mailing Address - Street 1:1926 10TH AVE N STE 410
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3368
Mailing Address - Country:US
Mailing Address - Phone:561-763-7629
Mailing Address - Fax:
Practice Address - Street 1:1421 E OAKLAND PARK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4434
Practice Address - Country:US
Practice Address - Phone:561-763-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001346400Medicaid