Provider Demographics
NPI:1093293987
Name:DORGA, YOLENE (ARNP)
Entity type:Individual
Prefix:MS
First Name:YOLENE
Middle Name:
Last Name:DORGA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 W STATE ROAD 434 STE 306
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5166
Mailing Address - Country:US
Mailing Address - Phone:407-320-7570
Mailing Address - Fax:321-842-9494
Practice Address - Street 1:521 W STATE ROAD 434 STE 306
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5166
Practice Address - Country:US
Practice Address - Phone:407-320-7570
Practice Address - Fax:321-842-9494
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3366562363LA2200X
FLARNP3366562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily