Individual
LINDA R HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
12416 91ST ST, FELLSMERE, FL 32948-5521
(772) 571-8657
(772) 571-0971
Mailing address
12416 91ST ST, FELLSMERE, FL 32948-5521
(772) 571-8657
(772) 571-0971
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2930672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311332900
—
FL
01
—
X1619
BCBS
FL
Enumeration date
12/07/2005
Last updated
07/23/2008
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