Individual
LINDA TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10920 63RD WAY NORTH, PINELLAS PARK, FL 33782
(727) 729-9802
Mailing address
10920 63RD WAY NORTH, PINELLAS PARK, FL 33782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5193313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN 5193313
FL DEPT OF HEALTH
FL
Enumeration date
04/26/2011
Last updated
04/26/2011
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