Healthcare Provider Details

I. General information

NPI: 1306332770
Provider Name (Legal Business Name): LINDSAY CENTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CRANES ROOST BLVD STE 1220
ALTAMONTE SPRINGS FL
32701-3480
US

IV. Provider business mailing address

506 WOODFORD DR
DEBARY FL
32713-2123
US

V. Phone/Fax

Practice location:
  • Phone: 407-774-3325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9292411
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: