MEDICARE: HEALTH LINK ASSOCIATES LLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1073714440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH LINK ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	4144 N ARMENIA AVE
Second Line	:	SUITE 240
City	:	TAMPA
State	:	FL
Zip	:	33607-6400
Country	:	US
Telephone Number	:	813-872-9384
Fax Number	:	813-872-7637

Provider Business Practice Location Address
First Line	:	4144 N ARMENIA AVE
Second Line	:	SUITE 240
City	:	TAMPA
State	:	FL
Zip	:	33607-6400
Country	:	US
Telephone Number	:	813-872-9384
Fax Number	:	813-872-7637

Authorized Official
Title or Position	:	MANAGER
Name	:	JUDE A PIERRE
Credential	:	M.D.
Telephone Number	:	813-872-9384

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	10/09/2007

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