Healthcare Provider Details

I. General information

NPI: 1386558872
Provider Name (Legal Business Name): LINNET BERNAL APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5128 SW 4TH ST
CORAL GABLES FL
33134-1227
US

IV. Provider business mailing address

5128 SW 4TH ST
CORAL GABLES FL
33134-1227
US

V. Phone/Fax

Practice location:
  • Phone: 786-222-8642
  • Fax:
Mailing address:
  • Phone: 786-222-8642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11051247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: