| Doctor Name: | LINDA DANIELLE GOTTWALD |
| NPI Number: | 1144424219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3326362 |
| Business Practice Address: | 10550 Aviation Blvd Marathon, FL - 330502908 |
| Business Phone Number: | 3053930294 |
| Business Fax Number: | |
| Mailing Address: | 10550 Aviation Blvd, MARATHON |
| State: | FL |
| Postal Code: | 330502908 |
| Phone Number: | 3053930294 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3326362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |