Healthcare Provider Details
I. General information
NPI: 1730669490
Provider Name (Legal Business Name): LINDSAY ISRAEL, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2018
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8845 N MILITARY TRL STE 200
WEST PALM BEACH FL
33410-6290
US
IV. Provider business mailing address
1555 PALM BEACH LAKES BLVD STE 1105
WEST PALM BEACH FL
33401-2328
US
V. Phone/Fax
- Phone: 561-232-3799
- Fax:
- Phone: 561-264-4406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDSAY
ISRAEL
Title or Position: OWNER
Credential:
Phone: 561-763-7629