MEDICARE: HOWARD LINZER 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
1	207Q00000X	Family Medicine Physician	OS0007727	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1164426912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD LINZER D.O.

Provider Business Mailing Address
First Line	:	8223 E THOMAS RD
Second Line	:	STE 303
City	:	MESA
State	:	AZ
Zip	:	85207-9601
Country	:	US
Telephone Number	:	727-744-9040
Fax Number	:	480-380-5053

Provider Business Practice Location Address
First Line	:	6400 DAVIS BLVD
Second Line	:	STE 103
City	:	NAPLES
State	:	FL
Zip	:	34104-5321
Country	:	US
Telephone Number	:	239-775-2300
Fax Number	:	239-775-4312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/30/2013

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Directions to “ HOWARD LINZER D.O.” Practice Location

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