Healthcare Provider Details

I. General information

NPI: 1255336889
Provider Name (Legal Business Name): DAVID SEAMAN LINDBERG JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5304 MILESTRETCH DRIVE
HOLIDAY FL
34690
US

IV. Provider business mailing address

PO BOX 2588
TARPON SPRINGS FL
34688-2588
US

V. Phone/Fax

Practice location:
  • Phone: 727-934-0856
  • Fax: 727-938-4604
Mailing address:
  • Phone: 727-542-5378
  • Fax: 855-631-8853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME41442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: