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NPI Code Detail

MEDICARE: MRS. LINDA KAFOREY P.A.-C.

MEDICARE: MRS. LINDA KAFOREY P.A.-C.
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
1363A00000XPhysician Assistant50-000767OH
2363A00000XPhysician AssistantPA9115232FL

Other Identifiers

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

General Provider Information

NPI Number : 1588763924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA KAFOREY P.A.-C.
Provider Business Mailing Address
First Line : 2500 HARBOR BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5000
Country : US
Telephone Number : 941-766-4125
Fax Number : 941-766-4101
Provider Business Practice Location Address
First Line : 2500 HARBOR BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5000
Country : US
Telephone Number : 941-766-4125
Fax Number : 941-766-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 02/03/2026

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