Healthcare Provider Details

I. General information

NPI: 1235508672
Provider Name (Legal Business Name): LINDSAY JOWERS LUNA PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN LINDSAY JOWERS PA-C

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W FAIRBANKS AVE STE 220
WINTER PARK FL
32789-4777
US

IV. Provider business mailing address

1111 W FAIRBANKS AVE STE 220
WINTER PARK FL
32789-4777
US

V. Phone/Fax

Practice location:
  • Phone: 407-635-5543
  • Fax: 321-842-4002
Mailing address:
  • Phone: 407-635-5543
  • Fax: 321-842-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPAT9109007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: