MEDICARE: LINDSAY JOWERS LUNA PA

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
1	363AM0700X	Medical Physician Assistant	PAT9109007	FL

General Provider Information

NPI Number	:	1235508672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY JOWERS LUNA PA

Provider Business Mailing Address
First Line	:	1111 W FAIRBANKS AVE STE 220
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-5543
Fax Number	:	321-842-4002

Provider Business Practice Location Address
First Line	:	1111 W FAIRBANKS AVE STE 220
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-5543
Fax Number	:	321-842-4002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	12/18/2025

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