Provider Demographics
NPI:1518395094
Name:CARING LINQ LLC
Entity type:Organization
Organization Name:CARING LINQ LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MYRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PINCHINAT-VASSOR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:772-353-5716
Mailing Address - Street 1:671 SE PORT ST LUCIE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5141
Mailing Address - Country:US
Mailing Address - Phone:772-353-5716
Mailing Address - Fax:844-367-0091
Practice Address - Street 1:671 SE PORT ST LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5141
Practice Address - Country:US
Practice Address - Phone:772-353-5716
Practice Address - Fax:844-367-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X, 363LA2200X, 208D00000X
FLARNP9248954363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009960800Medicaid
FL118723900Medicaid
FL122081300Medicaid
FL118127800Medicaid
FL14642730OtherCAQH
12508079OtherCAQH
FL14508826OtherCAQH
FL112074500Medicaid