Carlson, Linda Jan

Carlson, Linda Jan is an individual health care provider with primary practice located at 5467 Ronald Reagan Blvd , Sanford FL 32773-6332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carlson, Linda Jan can be contacted via phone (407) 324-3036.

Contact Information

Primary practice address
5467 Ronald Reagan Blvd Sanford FL 32773-6332
Fax: (407) 324-3045
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 930872 Florida

Profile Details

NPI number 1033217823
LBN Legal business name Carlson, Linda Jan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033217823 NPPES
Florida MEDICAID 311901700

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