Provider Demographics
NPI:1841598737
Name:ABBOTT, LINDA CAROL (DC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:ABBOTT
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 1:1150 EAST ATLANTIC BOULEVARD
Mailing Address - Street 2:SUITE C
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060
Mailing Address - Country:US
Mailing Address - Phone:954-968-4144
Mailing Address - Fax:954-786-4444
Practice Address - Street 1:1150 EAST ATLANTIC BOULEVARD
Practice Address - Street 2:SUITE C
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060
Practice Address - Country:US
Practice Address - Phone:954-968-4144
Practice Address - Fax:954-786-4444
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor