Healthcare Provider Details

I. General information

NPI: 1982396446
Provider Name (Legal Business Name): LINDSEY M. CLAYTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-1450
US

IV. Provider business mailing address

PO BOX 100289
GAINESVILLE FL
32610-0289
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9804
  • Fax: 352-392-6481
Mailing address:
  • Phone: 352-273-9804
  • Fax: 352-392-6481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9117400
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9117400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: