MEDICARE: HEALTH LINK ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME77112	FL

General Provider Information

NPI Number	:	1578761789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH LINK ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	5362 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-4562
Country	:	US
Telephone Number	:	352-686-3101
Fax Number	:	352-688-8713

Provider Business Practice Location Address
First Line	:	4160 N ARMENIA AVE
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33607-6453
Country	:	US
Telephone Number	:	813-872-9384
Fax Number	:	813-872-7637

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JUDE A PIERRE
Credential	:	MD
Telephone Number	:	813-872-9384

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	08/20/2007

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