Healthcare Provider Details

I. General information

NPI: 1962702183
Provider Name (Legal Business Name): LINDA CARRINGTON LMT, AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 NE 124 ST
NORTH MIAMI FL
33161
US

IV. Provider business mailing address

640 NE 124 ST
NORTH MIAMI FL
33161
US

V. Phone/Fax

Practice location:
  • Phone: 305-891-4114
  • Fax: 305-891-4114
Mailing address:
  • Phone: 305-891-4114
  • Fax: 305-891-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3284
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA35742
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: