Provider Demographics
NPI:1487698817
Name:LEPIK, LINDA MAI (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MAI
Last Name:LEPIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10495 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5045
Mailing Address - Country:US
Mailing Address - Phone:352-683-5220
Mailing Address - Fax:352-666-6513
Practice Address - Street 1:10495 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5045
Practice Address - Country:US
Practice Address - Phone:352-683-5220
Practice Address - Fax:352-666-6513
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70195207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28867VMedicare PIN
FLE68304Medicare UPIN
FLK4395Medicare ID - Type Unspecified