Healthcare Provider Details

I. General information

NPI: 1750193504
Provider Name (Legal Business Name): KYLE ALVAREZ ARMBRUSTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4202 E FOWLER AVE
TAMPA FL
33620-8000
US

IV. Provider business mailing address

13215 CONRAD PL
SPRING HILL FL
34609-9019
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-2011
  • Fax:
Mailing address:
  • Phone: 727-364-3057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11045677
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: