Healthcare Provider Details
I. General information
NPI: 1881672202
Provider Name (Legal Business Name): APRIL LINETTE EAST
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15100 RESCUE WAY
CLEARWATER FL
33762-3524
US
IV. Provider business mailing address
9025 SHALLOWFORD LN
PORT RICHEY FL
34668-4837
US
V. Phone/Fax
- Phone: 727-535-1437
- Fax: 727-535-4190
- Phone: 727-535-1437
- Fax: 727-535-4190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374700000X |
| Taxonomy | Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: