Individual
DR. LINDA LEE CIVERCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 LAS OLAS WAY 210, FORT LAUDERDALE, FL 33301-2363
(954) 235-3220
(954) 523-5429
Mailing address
333 LAS OLAS WAY APT 210, FORT LAUDERDALE, FL 33301-2374
(954) 235-3220
(954) 523-5429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 39279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 39279
MEDICAL LICENSE
FL
Enumeration date
03/20/2013
Last updated
05/10/2013
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