MEDICARE: LINDA S WHALEN P.A.

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	363A00000X	Physician Assistant	PA9103976	FL

General Provider Information

NPI Number	:	1518944776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S WHALEN P.A.

Provider Business Mailing Address
First Line	:	5233 RICKER RD
Second Line	:	#101
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-1438
Country	:	US
Telephone Number	:	904-425-6963
Fax Number	:	904-674-0155

Provider Business Practice Location Address
First Line	:	5233 RICKER RD
Second Line	:	#101
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-1438
Country	:	US
Telephone Number	:	904-425-6963
Fax Number	:	904-674-0155

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	02/08/2008

Similar Medicare Providers

1891630760 — KRISTEN WHITE
Practice Location Address:

2308 4TH AVE
JACKSONVILLE, FL
32208-1438

Practice Phone: 904-601-7297
Practice Fax:

1669630927 — MR. VENER SENTONES RAFAEL RPT
Practice Location Address:

4533 SUMMER WALK CT
JACKSONVILLE, FL
32258-1438

Practice Phone: 904-886-7064
Practice Fax:

1902220114 — KRISTY VERHAGE PMHNP
Practice Location Address:

1438 E RUSK ST
JACKSONVILLE, TX
75766-3450

Practice Phone: 903-721-3250
Practice Fax:

1265077663 — FAITH MARIE PONTI
Practice Location Address:

1438 DANCY ST
JACKSONVILLE, FL
32205-8321

Practice Phone: 719-322-2918
Practice Fax:

1104584242 — BE WELL MENTAL HEALTH CENTER PLLC
Practice Location Address:

1438 E RUSK ST
JACKSONVILLE, TX
75766-3450

Practice Phone: 903-721-3250
Practice Fax: 903-213-9029

1043004948 — DAKOTA MAKENZIE LAPORTE
Practice Location Address:

4401 WESCONNETT BLVD
JACKSONVILLE, FL
32210-7345

Practice Phone: 904-779-3135
Practice Fax:

Directions to “ LINDA S WHALEN P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.