Provider Demographics
NPI:1952597601
Name:MACALLISTER, LINDA A
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:MACALLISTER
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:PO BOX 27102
Mailing Address - Street 2:
Mailing Address - City:EL JOBEAN
Mailing Address - State:FL
Mailing Address - Zip Code:33927-7102
Mailing Address - Country:US
Mailing Address - Phone:941-662-0603
Mailing Address - Fax:941-697-9500
Practice Address - Street 1:13212 FELDSPAR AVE
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981-1817
Practice Address - Country:US
Practice Address - Phone:941-662-0603
Practice Address - Fax:941-697-9500
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator