Healthcare Provider Details

I. General information

NPI: 1093423998
Provider Name (Legal Business Name): CAITLIN ROSE LYNCH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 49TH ST N STE 208
ST PETERSBURG FL
33709-2100
US

IV. Provider business mailing address

5800 49TH ST N STE 208
ST PETERSBURG FL
33709-2100
US

V. Phone/Fax

Practice location:
  • Phone: 727-892-2928
  • Fax: 727-379-2015
Mailing address:
  • Phone: 727-892-2928
  • Fax: 727-379-2015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9353552
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN11024548
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: