MEDICARE: MR. PHILLIP MICHAEL LINDSAY RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2279H0200X	Home Health Registered Respiratory Therapist	RT5636	FL
2	2279P1004X	Pulmonary Diagnostics Registered Respiratory Therapist	RT5636	FL
3	2279P1006X	Pulmonary Function Technologist Registered Respiratory Therapist	RT5636	FL

General Provider Information

NPI Number	:	1235179367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PHILLIP MICHAEL LINDSAY RRT

Provider Business Mailing Address
First Line	:	1758 MARYLAND AVE NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-3324
Country	:	US
Telephone Number	:	727-418-8617
Fax Number	:	727-494-1468

Provider Business Practice Location Address
First Line	:	1758 MARYLAND AVE NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-3324
Country	:	US
Telephone Number	:	727-418-8617
Fax Number	:	727-289-5781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/25/2014

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