Provider Demographics
NPI:1760460992
Name:LIN, TSU-HUI (MD)
Entity Type:Individual
Prefix:DR
First Name:TSU-HUI
Middle Name:
Last Name:LIN
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 1:3001 W. MARTIN LUTHER KING JR. BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6307
Mailing Address - Country:US
Mailing Address - Phone:813-554-8420
Mailing Address - Fax:813-554-8377
Practice Address - Street 1:3001 W MARTIN LUTHER KING BOULEVARD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-554-8420
Practice Address - Fax:813-554-8377
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL565732080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051634100Medicaid
FL11778Medicare ID - Type Unspecified
FL051634100Medicaid