Healthcare Provider Details

I. General information

NPI: 1740721695
Provider Name (Legal Business Name): AGNES LYNCH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 FRUITVILLE RD STE 220
SARASOTA FL
34237-5397
US

IV. Provider business mailing address

2801 FRUITVILLE RD STE 220
SARASOTA FL
34237-5397
US

V. Phone/Fax

Practice location:
  • Phone: 941-529-0077
  • Fax: 941-529-0088
Mailing address:
  • Phone: 941-529-0077
  • Fax: 941-529-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9445814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: