Healthcare Provider Details

I. General information

NPI: 1932144946
Provider Name (Legal Business Name): LINDA A GELLWEILER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7126 BENEVA RD
SARASOTA FL
34238
US

IV. Provider business mailing address

7126 BENEVA RD
SARASOTA FL
34238
US

V. Phone/Fax

Practice location:
  • Phone: 941-929-9530
  • Fax: 941-929-9529
Mailing address:
  • Phone: 941-929-9530
  • Fax: 941-929-9529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberARNP9217729
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: