Healthcare Provider Details

I. General information

NPI: 1417889056
Provider Name (Legal Business Name): MARTHA LINSCOTT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

IV. Provider business mailing address

5932 NW 29TH TER
GAINESVILLE FL
32653-1840
US

V. Phone/Fax

Practice location:
  • Phone: 352-336-6000
  • Fax:
Mailing address:
  • Phone: 352-792-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046855
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: