Healthcare Provider Details

I. General information

NPI: 1790846277
Provider Name (Legal Business Name): LINDA L HUFFMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5849 OKEECHOBEE BLVD SUITE 301
WEST PALM BEACH FL
33417-4352
US

IV. Provider business mailing address

5849 OKEECHOBEE BLVD SUITE 301
WEST PALM BEACH FL
33417-4352
US

V. Phone/Fax

Practice location:
  • Phone: 561-683-4008
  • Fax: 561-683-0532
Mailing address:
  • Phone: 561-683-4008
  • Fax: 561-683-0532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: