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NPI Code Detail

MEDICARE: LINDA C MCMAHON CST,CFA

MEDICARE:   LINDA C MCMAHON  CST,CFA
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
1246ZS0410XSurgical Technologist88147FL

General Provider Information

NPI Number : 1639161045
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA C MCMAHON CST,CFA
Provider Business Mailing Address
First Line : 1143 NW 64TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4218
Country : US
Telephone Number : 352-331-1201
Fax Number : 352-331-5273
Provider Business Practice Location Address
First Line : 1143 NW 64TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4218
Country : US
Telephone Number : 352-331-1201
Fax Number : 352-331-5273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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Directions to “ LINDA C MCMAHON CST,CFA” Practice Location

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