Individual
LUIS EDUARDO LINAREZ PARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
769 CARLYLE WAY, FORT PIERCE, FL 34947-1361
(407) 335-5577
Mailing address
769 CARLYLE WAY, FORT PIERCE, FL 34947-1361
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-303
FL
363A00000X
Physician Assistant
2880-P.A.
PR
363AS0400X
Surgical Physician Assistant
2880-P.A.
PR
Other
Enumeration date
12/04/2025
Last updated
12/05/2025
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