Provider Demographics
NPI:1255749370
Name:TAPANES, LINDA IVETTE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:IVETTE
Last Name:TAPANES
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 1:10897 NW 7TH ST APT 21
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7717
Mailing Address - Country:US
Mailing Address - Phone:786-301-3849
Mailing Address - Fax:786-536-6691
Practice Address - Street 1:10897 NW 7TH ST APT 21
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7717
Practice Address - Country:US
Practice Address - Phone:786-301-3849
Practice Address - Fax:786-536-6691
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21688225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant