Healthcare Provider Details

I. General information

NPI: 1861291528
Provider Name (Legal Business Name): LINEA FALTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9750 NW 33RD ST STE 204
CORAL SPRINGS FL
33065-4081
US

IV. Provider business mailing address

2229 N COMMERCE PKWY
WESTON FL
33326-3282
US

V. Phone/Fax

Practice location:
  • Phone: 954-780-8685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11038141
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: