Healthcare Provider Details

I. General information

NPI: 1134990922
Provider Name (Legal Business Name): KRISTY GISELE JOSEPH APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SW 37TH AVE STE 701
MIAMI FL
33133-2750
US

IV. Provider business mailing address

2601 SW 37TH AVE STE 701
MIAMI FL
33133-2750
US

V. Phone/Fax

Practice location:
  • Phone: 305-808-3060
  • Fax:
Mailing address:
  • Phone: 305-808-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11030563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: