=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780182402
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | COURTNEY BROOKE LINDER APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2018
-----------------------------------------------------
Last Update Date | 10/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 N TAMPA ST STE 1550
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33602-4737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-402-3429
-----------------------------------------------------
Fax | 863-402-3275
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8814 BEELER DR
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33626-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-402-3429
-----------------------------------------------------
Fax | 863-402-3275
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN9362846
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------