Healthcare Provider Details

I. General information

NPI: 1073714440
Provider Name (Legal Business Name): HEALTH LINK ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 N ARMENIA AVE SUITE 240
TAMPA FL
33607-6400
US

IV. Provider business mailing address

4144 N ARMENIA AVE SUITE 240
TAMPA FL
33607-6400
US

V. Phone/Fax

Practice location:
  • Phone: 813-872-9384
  • Fax: 813-872-7637
Mailing address:
  • Phone: 813-872-9384
  • Fax: 813-872-7637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JUDE A PIERRE
Title or Position: MANAGER
Credential: M.D.
Phone: 813-872-9384