Provider Demographics
NPI:1669469367
Name:SYLVESTER, LINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:2161 KINGSLEY AVE.
Practice Address - Street 2:SUITE 200
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-276-2303
Practice Address - Fax:904-272-6521
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 71329207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0590407OtherCIGNA
FL150169OtherWELLCARE
FL4339221OtherAETNA
FL7339221OtherAETNA
FLP0026499OtherFLORIDA HEALTHCARE PLUS
FLP01593275OtherRRMEDICARE
FL1108012OtherCARE PLUS HEALTH PLANS
FL204385OtherAVMED
FLP1005493OtherFREEDOM HEALTH
FL251433800Medicaid
FL31677OtherBCBS
FLP01327660OtherRR MEDICARE
FL31677AMedicare PIN
FL150169OtherWELLCARE
FL4339221OtherAETNA
FL7339221OtherAETNA
FLF18540Medicare UPIN
FLP01593275OtherRRMEDICARE
FLP1005493OtherFREEDOM HEALTH
FL31677UMedicare PIN
FL31677TMedicare PIN