Individual provider Active NPI

Linda Jean, M.D.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1376862987
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114969 Issued in FL
Practice address
750 S Federal Hwy
Hollywood, FL 33020-5424
Phone
(954) 342-8800
Fax
(954) 342-8700
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114969 FL Primary
Family Medicine Physician 207Q00000X 067653 GA

Addresses

Primary practice location

750 S Federal Hwy
Hollywood, FL 33020-5424

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (863) 215-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000956 FL Practitioner - Family Practice 4486895646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

3135 Citrus Tower Blvd
Clermont, FL 34711-6823
Phone (352) 988-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME114969FLMDFamily Medicine Physician
067653GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Optimum Family Health Services, LLC Family Medicine Current Accepting new patients
Florida Medical Associates LLC CurrentSince Feb 1, 2022 Accepting new patients
Eastside Hospitalists Inc CurrentSince Aug 28, 2015 Accepting new patients

Locations

3135 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 404-6900

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: linda.jean@sl.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1376862987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "863-215-6639",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205424",
            "telephone_number": "954-342-8800",
            "fax_number": "954-342-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114969",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "067653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.