Healthcare Provider Details

I. General information

NPI: 1780182402
Provider Name (Legal Business Name): COURTNEY BROOKE LINDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. COURTNEY LINDER AUTREY

II. Dates (important events)

Enumeration Date: 01/28/2018
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N TAMPA ST STE 1550
TAMPA FL
33602-4737
US

IV. Provider business mailing address

8814 BEELER DR
TAMPA FL
33626-2903
US

V. Phone/Fax

Practice location:
  • Phone: 863-402-3429
  • Fax: 863-402-3275
Mailing address:
  • Phone: 863-402-3429
  • Fax: 863-402-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9362846
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: