IndividualActive
Kevin Jose
NPI 1174475388 · Critical Care Medicine Clinical Nurse Specialist · Coral Springs, FL
Provider details
- NPI number
- 1174475388
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9554932 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5113 Nw 121st Dr
Coral Springs, FL 33076-3502
Phone: (516) 582-9331
Approximate (ZIP-level) locationGet directions
Mailing address
5113 Nw 121st Dr
Coral Springs, FL 33076-3502
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.