Healthcare Provider Details

I. General information

NPI: 1568351013
Provider Name (Legal Business Name): LINA J PIERRE RT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 WINDORAH WAY APT D
ROYAL PALM BEACH FL
33411-1960
US

IV. Provider business mailing address

1660 WINDORAH WAY APT D
ROYAL PALM BEACH FL
33411-1960
US

V. Phone/Fax

Practice location:
  • Phone: 863-612-8876
  • Fax:
Mailing address:
  • Phone: 863-612-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: