Healthcare Provider Details

I. General information

NPI: 1659964021
Provider Name (Legal Business Name): LINDA FLORIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18780 BAGLEY RD STE 104
MIDDLEBURG HEIGHTS OH
44130-3303
US

IV. Provider business mailing address

18780 BAGLEY RD STE 104
MIDDLEBURG HEIGHTS OH
44130-3303
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-5950
  • Fax: 440-816-5955
Mailing address:
  • Phone: 440-816-5950
  • Fax: 440-816-5955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0028728
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: