Healthcare Provider Details

I. General information

NPI: 1699602490
Provider Name (Legal Business Name): LYNN SPINN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26529 BARRANQUILLA AVE
PUNTA GORDA FL
33983-5728
US

IV. Provider business mailing address

26529 BARRANQUILLA AVE
PUNTA GORDA FL
33983-5728
US

V. Phone/Fax

Practice location:
  • Phone: 207-409-3461
  • Fax:
Mailing address:
  • Phone: 207-409-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYNN RUGGIERI
Title or Position: DEVELOPMENTAL SPECIALIST OWNER
Credential:
Phone: 207-409-3461