Individual
DR. PAMELA ALIX LINDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6271 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2523
(904) 633-0460
(904) 633-0461
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 633-0460
(904) 633-0461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
79718
MA
208000000X
Pediatrics Physician
Primary
ME115116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008106700
—
FL
01
—
14P8Z
BCBS
FL
01
—
27-0547617
TAX ID
GA
05
—
3126315
—
MA
05
—
631155027B
—
GA
Enumeration date
04/03/2006
Last updated
11/14/2013
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