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NPI Code Detail

MEDICARE: DR. JUSTIN LINDQUIST M.D.

MEDICARE:  DR. JUSTIN  LINDQUIST  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
12084N0400XNeurology Physician0101268316VA
22084N0400XNeurology Physician50793-020WI
32084N0400XNeurology PhysicianME107776FL

General Provider Information

NPI Number : 1457411944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN LINDQUIST M.D.
Provider Business Mailing Address
First Line : 3849 OAKWATER CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32806-6264
Country : US
Telephone Number : 407-240-1762
Fax Number :
Provider Business Practice Location Address
First Line : 3849 OAKWATER CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32806-6264
Country : US
Telephone Number : 407-240-1762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 01/22/2020

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Directions to “ DR. JUSTIN LINDQUIST M.D.” Practice Location

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