Individual
MR. LINUS AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3921
(321) 637-3507
Mailing address
4269 WOODHALL CIR, ROCKLEDGE, FL 32955-6630
(321) 637-3788
(321) 637-3507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102857
PHYSICIAN ASSISTANT
FL
Enumeration date
05/17/2006
Last updated
12/29/2016
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