Provider Demographics
NPI:1447856661
Name:PAULA JORGE, LYNETTE DE LA CARIDAD (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:DE LA CARIDAD
Last Name:PAULA JORGE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:D
Other - Last Name:PAULA JORGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, PMHNP-BC
Mailing Address - Street 1:8323 NW 12TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1839
Mailing Address - Country:US
Mailing Address - Phone:305-400-8511
Mailing Address - Fax:305-392-0184
Practice Address - Street 1:8323 NW 12TH ST STE 108
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1839
Practice Address - Country:US
Practice Address - Phone:305-400-8511
Practice Address - Fax:305-392-0184
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038804363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health