Healthcare Provider Details

I. General information

NPI: 1477480085
Provider Name (Legal Business Name): A WHITE STONE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3571 SUNSET BEACH DR
VENICE FL
34293-2949
US

IV. Provider business mailing address

3571 SUNSET BEACH DR
VENICE FL
34293-2949
US

V. Phone/Fax

Practice location:
  • Phone: 941-408-4893
  • Fax:
Mailing address:
  • Phone: 941-408-4893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA MARTELL
Title or Position: OWNER OPERATOR
Credential: APRN
Phone: 941-408-4893