Ross Pedersen, Linda M

Ross Pedersen, Linda M is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50, Fort Myers FL 33907-3991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ross Pedersen, Linda M can be contacted via phone (239) 939-2622.

Contact Information

Primary practice address
12511 World Plaza Ln Bldg 50 Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1927642 Florida

Profile Details

NPI number 1700850575
LBN Legal business name Ross Pedersen, Linda M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 19th, 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 1700850575 NPPES
Florida MEDICAID 304513700
Florida Other 430051711
Florida Other G0375

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