Provider Demographics
NPI:1093747131
Name:BOJARSKI, LINDA S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:BOJARSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E FORT KING ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2277
Mailing Address - Country:US
Mailing Address - Phone:352-867-5006
Mailing Address - Fax:352-867-0501
Practice Address - Street 1:500 E FORT KING ST
Practice Address - Street 2:SUITE B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2277
Practice Address - Country:US
Practice Address - Phone:352-867-5006
Practice Address - Fax:352-867-0501
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6032103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54488Medicare ID - Type Unspecified