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Individual

MR. JEFFREY D LINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
801 N ORANGE AVE, SUITE 720, ORLANDO, FL 32801-1026
(407) 288-8638
(407) 288-8639
Mailing address
801 N ORANGE AVE, SUITE 720, ORLANDO, FL 32801-1026
(407) 288-8638
(407) 288-8639

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104220
FL
363AS0400X
Surgical Physician Assistant
PAT9104220
FL

Other

Enumeration date
07/11/2007
Last updated
07/23/2014
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