Healthcare Provider Details

I. General information

NPI: 1821885542
Provider Name (Legal Business Name): LINDSAY CARRASQUILLO CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2439 BEE RIDGE RD
SARASOTA FL
34239-6304
US

IV. Provider business mailing address

1740 MORNING DOVE LN
ENGLEWOOD FL
34224-5033
US

V. Phone/Fax

Practice location:
  • Phone: 941-343-0609
  • Fax: 941-378-9120
Mailing address:
  • Phone: 941-223-8142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number11039076
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: