Healthcare Provider Details
I. General information
NPI: 1861782195
Provider Name (Legal Business Name): AARON LINDSAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2011
Last Update Date: 10/22/2023
Certification Date: 10/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 E ROLLINS ST
ORLANDO FL
32803
US
IV. Provider business mailing address
2600 WESTHALL LN FL 4
MAITLAND FL
32751-7102
US
V. Phone/Fax
- Phone: 407-200-2355
- Fax:
- Phone: 407-200-2355
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085P0229X |
| Taxonomy | Pediatric Radiology Physician |
| License Number | MT207936 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | ME127877 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085P0229X |
| Taxonomy | Pediatric Radiology Physician |
| License Number | 13128741-1205 |
| License Number State | UT |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: