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NPI Code Detail

MEDICARE: CARING LINQ LLC

MEDICARE: CARING LINQ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2363LA2200XAdult Health Nurse PractitionerARNP9248954FL
3363LA2200XAdult Health Nurse Practitioner
4208D00000XGeneral Practice Physician

Other Identifiers

General Provider Information

NPI Number : 1518395094
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING LINQ LLC
Provider Business Mailing Address
First Line : 671 SE PORT ST LUCIE BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-5141
Country : US
Telephone Number : 772-353-5716
Fax Number : 844-367-0091
Provider Business Practice Location Address
First Line : 671 SE PORT ST LUCIE BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-5141
Country : US
Telephone Number : 772-353-5716
Fax Number : 844-367-0091
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : DR. MYRIAM PINCHINAT-VASSOR
Credential : DNP
Telephone Number : 772-353-5716
Provider Enumeration Date : 10/21/2013
Last Update Date : 05/17/2024

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Directions to “CARING LINQ LLC ” Practice Location

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