Provider Demographics
NPI:1225371057
Name:GOKOOL, LINDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:GOKOOL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 GREENARCE RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-7704
Mailing Address - Country:US
Mailing Address - Phone:407-399-1404
Mailing Address - Fax:407-358-9852
Practice Address - Street 1:2402 GREENARCE RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-7704
Practice Address - Country:US
Practice Address - Phone:407-399-1404
Practice Address - Fax:407-358-9852
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10955310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility