Individual
MRS. LINDA JAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5467 RONALD REAGAN BLVD, SANFORD, FL 32773-6332
(407) 324-3036
(407) 324-3045
Mailing address
606 LA SALLE DR, ALTAMONTE SPRINGS, FL 32714-1322
(407) 774-7758
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
930872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311901700
—
FL
Enumeration date
09/20/2006
Last updated
11/30/2016
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