Provider Demographics
NPI:1285850438
Name:UMLA, LINDA (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:UMLA
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12748 WESTPORT CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-5538
Mailing Address - Country:US
Mailing Address - Phone:561-371-2632
Mailing Address - Fax:
Practice Address - Street 1:12748 WESTPORT CIR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-5538
Practice Address - Country:US
Practice Address - Phone:561-371-2632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1628171100000X
NY1967-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist