Provider Demographics
NPI:1922047752
Name:LINKER, CAREY S (MD)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:S
Last Name:LINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 WINKLER AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:844-821-8137
Mailing Address - Fax:
Practice Address - Street 1:1600 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5304
Practice Address - Country:US
Practice Address - Phone:850-878-4127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME644062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME64406OtherFLORIDA LICENSE
4320037OtherAETNA PPO
FLP01282550OtherRR MEDICARE
0625030OtherAETNA HMO
GA003142039COtherGA MEDICAID
FL010570400Medicaid
18843OtherBCBS
FL18843TMedicare PIN
F36460Medicare UPIN
FLP01282550OtherRR MEDICARE