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NPI Code Detail

MEDICARE: NIRVA M LINDOR-ANTOINE M.D.

MEDICARE: NIRVA M LINDOR-ANTOINE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME128359FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023061579
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRVA M LINDOR-ANTOINE M.D.
Provider Business Mailing Address
First Line : 4930 E LAKE MARY BLVD
Second Line :
City : SANFORD
State : FL
Zip : 32771-5003
Country : US
Telephone Number : 407-322-8645
Fax Number : 407-330-5074
Provider Business Practice Location Address
First Line : 6101 LAKE ELLENOR DR
Second Line : SUITE 105
City : ORLANDO
State : FL
Zip : 32809-4616
Country : US
Telephone Number : 407-322-8645
Fax Number : 407-956-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/10/2017

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