Provider Demographics
NPI:1790846277
Name:HUFFMAN, LINDA L (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:HUFFMAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5849 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4352
Mailing Address - Country:US
Mailing Address - Phone:561-683-4008
Mailing Address - Fax:561-683-0532
Practice Address - Street 1:5849 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4352
Practice Address - Country:US
Practice Address - Phone:561-683-4008
Practice Address - Fax:561-683-0532
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2008-11-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP017590001Medicare UPIN