Individual
MICHAEL L. LINETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6401 N FEDERAL HWY, EMERGENCY DEPARTMENT, FT LAUDERDALE, FL 33308-1427
(919) 425-1565
(919) 425-0478
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227934-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02561604
—
NY
01
—
2178Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
03/17/2006
Last updated
12/02/2009
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