Healthcare Provider Details

I. General information

NPI: 1588029953
Provider Name (Legal Business Name): ANASTASSIA LINKOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 NW 15TH ST STE 110A
BOCA RATON FL
33486-1341
US

IV. Provider business mailing address

1050 NW 15TH ST STE 110A
BOCA RATON FL
33486-1341
US

V. Phone/Fax

Practice location:
  • Phone: 561-392-4014
  • Fax: 561-392-2753
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95002582
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: