Provider Demographics
NPI:1851393284
Name:PRIETO, LINDA NIED (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NIED
Last Name:PRIETO
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 1:1725 LONG BOW LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6401
Mailing Address - Country:US
Mailing Address - Phone:727-687-2826
Mailing Address - Fax:727-231-0734
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:#47
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-462-7908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA81796208M00000X
FLME71110208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32265XMedicare PIN
F66181Medicare UPIN