Provider Demographics
NPI:1205136405
Name:LINDA D. BINDA, D.C., P.A.
Entity type:Organization
Organization Name:LINDA D. BINDA, D.C., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/P, VP, SEC, TRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BINDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-726-3917
Mailing Address - Street 1:1639 GEORGIA ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-2568
Mailing Address - Country:US
Mailing Address - Phone:321-726-3917
Mailing Address - Fax:321-729-9728
Practice Address - Street 1:1639 GEORGIA ST NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-2568
Practice Address - Country:US
Practice Address - Phone:321-726-3917
Practice Address - Fax:321-729-9728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381297900Medicaid
FL381297900Medicaid
FL55429Medicare PIN