Healthcare Provider Details

I. General information

NPI: 1174222582
Provider Name (Legal Business Name): ADOLPHUS LINTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28848 S DIXIE HWY
HOMESTEAD FL
33033-2405
US

IV. Provider business mailing address

28848 S DIXIE HWY
HOMESTEAD FL
33033-2405
US

V. Phone/Fax

Practice location:
  • Phone: 305-248-1003
  • Fax: 305-248-1009
Mailing address:
  • Phone: 305-248-1003
  • Fax: 305-248-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT10421
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: