Active NPI
Liane Marie Lindo, PA-C,, MMS
- Physician Assistant
- Miramar, FL
National Provider Identifier
1477661072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103546
- Practice address
- 13221 SW 42ND St
Miramar, FL 33027-3109 - Phone
- (305) 829-4240
- Fax
- (305) 829-4240
- NPI assigned
- Aug 25, 2006
- Last updated
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103546 | FL | Primary |
Addresses
Primary practice location
13221 SW 42ND St
Miramar, FL 33027-3109
Mailing address
5780 S University Dr
102
Davie, FL 33328-6103
Phone (786) 262-2685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103546 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103546 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1477661072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 S UNIVERSITY DR",
"address_2": "102",
"city": "DAVIE",
"state": "FL",
"postal_code": "333286103",
"telephone_number": "786-262-2685",
"fax_number": "954-434-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13221 SW 42ND ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273109",
"telephone_number": "305-829-4240",
"fax_number": "305-829-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDO",
"first_name": "LIANE",
"middle_name": "MARIE",
"credential": "PA-C,, MMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA9103546",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.