Provider Demographics
NPI:1881016228
Name:LINDERMAN, ELINA
Entity Type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:LINDERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30407 PRINCESS BAY DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4211
Mailing Address - Country:US
Mailing Address - Phone:727-688-8421
Mailing Address - Fax:
Practice Address - Street 1:30407 PRINCESS BAY DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4211
Practice Address - Country:US
Practice Address - Phone:727-688-8421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLW176693251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage