Provider Demographics
NPI:1346964665
Name:DIBELLA, LINDA (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:DIBELLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 196863
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32719-6863
Mailing Address - Country:US
Mailing Address - Phone:407-227-8220
Mailing Address - Fax:
Practice Address - Street 1:885 N POWERS DR STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6842
Practice Address - Country:US
Practice Address - Phone:407-227-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor