Linda Lee Civerchia, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 39279 Issued in FL

Practice address

333 Las Olas Way 210
Fort Lauderdale, FL 33301-2363

Phone

(954) 235-3220

Fax

(954) 523-5429

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Linda Civerchia Balent Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1346582087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY APT 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012374",
            "telephone_number": "954-235-3220",
            "fax_number": "954-523-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012363",
            "telephone_number": "954-235-3220",
            "fax_number": "954-523-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVERCHIA",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 39279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 39279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BALENT",
            "middle_name": "CIVERCHIA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter D Ciporkin, DDS
• Circles ABA Inc
• Robert J Cirelli, M.D.
• Tashaundra S Cisrow, MS
• City of Fort Lauderdale
• Samie Clarilus, MSW
• Clarity Genetics LLC
• Frances Sholer Clark Howard, ARNP
• Brittany Clark-Lewis
• Cameron Clark, DPT, ATC

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.