Healthcare Provider Details

I. General information

NPI: 1750210886
Provider Name (Legal Business Name): DREW MICHAEL LINTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20000 NW 27TH AVE
MIAMI GARDENS FL
33056-2674
US

IV. Provider business mailing address

6049 15TH WAY N
ST PETERSBURG FL
33703-1023
US

V. Phone/Fax

Practice location:
  • Phone: 305-943-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: