Individual
MRS. LINDA LOUISE DIVICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 493-1078
(813) 621-9373
Mailing address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 493-1078
(813) 621-9373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9211815
MD
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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