Provider Demographics
NPI:1104805829
Name:SCHNEIDER, LINDA FALLUCCA (ARNP FNP-C)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:FALLUCCA
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ARNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5734
Mailing Address - Country:US
Mailing Address - Phone:407-321-6670
Mailing Address - Fax:407-321-2738
Practice Address - Street 1:326 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5734
Practice Address - Country:US
Practice Address - Phone:407-321-6670
Practice Address - Fax:407-321-2738
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1120202207R00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P77983Medicare UPIN
E89552Medicare ID - Type Unspecified