Provider Demographics
NPI: | 1417375288 |
---|---|
Name: | FRENKEL, LINDSAY GAIL (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | LINDSAY |
Middle Name: | GAIL |
Last Name: | FRENKEL |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | DR |
Other - First Name: | LINDSAY |
Other - Middle Name: | GAIL |
Other - Last Name: | SHER |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | PO BOX 8569 |
Mailing Address - Street 2: | |
Mailing Address - City: | NAPLES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34101-8569 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 350 7TH ST N |
Practice Address - Street 2: | |
Practice Address - City: | NAPLES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34102-5754 |
Practice Address - Country: | US |
Practice Address - Phone: | 239-624-8250 |
Practice Address - Fax: | 239-624-8251 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2014-03-31 |
Last Update Date: | 2020-08-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 2019-01359 | 207L00000X |
FL | ME143936 | 207RC0200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | |
No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 106020900 | Medicaid | |
FL | I0IB8 | Other | BCBS |