Provider Demographics
NPI:1558679118
Name:ENGLE, LINDA H
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:H
Last Name:ENGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 W LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6921
Mailing Address - Country:US
Mailing Address - Phone:239-368-3319
Mailing Address - Fax:239-368-5239
Practice Address - Street 1:113 W LAKE DR
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6921
Practice Address - Country:US
Practice Address - Phone:239-368-3319
Practice Address - Fax:239-368-5239
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL693620296171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator