Healthcare Provider Details

I. General information

NPI: 1033107115
Provider Name (Legal Business Name): LINDA DOLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 GLADES ROAD STE 100
BOCA RATON FL
33434-4150
US

IV. Provider business mailing address

7777 GLADES ROAD STE 100
BOCA RATON FL
33434-4150
US

V. Phone/Fax

Practice location:
  • Phone: 561-573-3495
  • Fax: 888-910-3040
Mailing address:
  • Phone: 561-573-3495
  • Fax: 888-910-3040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME56018
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License NumberME56018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: