Individual
EDWARD B LINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960, MIAMI, FL 33136-1005
(305) 243-6618
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960, MIAMI, FL 33136-1005
(305) 243-6618
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME99530
FL
2086S0102X
Surgical Critical Care Physician
ME99530
FL
2086S0127X
Trauma Surgery Physician
ME99530
FL
Other
Enumeration date
12/20/2007
Last updated
12/21/2007
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