Healthcare Provider Details

I. General information

NPI: 1528916038
Provider Name (Legal Business Name): LINDSEY ROSE MCMAHON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6137 LUCERNE ST
JUPITER FL
33458-6672
US

IV. Provider business mailing address

6137 LUCERNE ST
JUPITER FL
33458-6672
US

V. Phone/Fax

Practice location:
  • Phone: 516-587-0271
  • Fax:
Mailing address:
  • Phone: 516-587-0271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11046168
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: