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NPI Code Detail

MEDICARE: MICHAEL L. LINETT D.O.

MEDICARE: MICHAEL L. LINETT D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician227934-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12178Q1OTHERNYBLUECROSS BLUESHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063481240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL L. LINETT D.O.
Provider Business Mailing Address
First Line : 3114 CROASDAILE DR
Second Line : SUITE 200
City : DURHAM
State : NC
Zip : 27705-2508
Country : US
Telephone Number : 919-425-1565
Fax Number : 919-425-0478
Provider Business Practice Location Address
First Line : 6401 N FEDERAL HWY
Second Line : EMERGENCY DEPARTMENT
City : FT LAUDERDALE
State : FL
Zip : 33308-1427
Country : US
Telephone Number : 919-425-1565
Fax Number : 919-425-0478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/02/2009

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Directions to “ MICHAEL L. LINETT D.O.” Practice Location

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