Organization
LR HART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HART RNFA (PRESIDENT)
(772) 571-8657
Entity
Organization
Contact information
Practice address
12416 91ST ST, FELLSMERE, FL 32948-5521
(772) 571-8657
Mailing address
12416 91ST ST, FELLSMERE, FL 32948-5521
(772) 571-8657
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2930672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X1619
BLUE CROSS
FL
Enumeration date
11/06/2006
Last updated
08/22/2020
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