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NPI Code Detail

MEDICARE: KEVIN NALONNIL JOSE

MEDICARE:   KEVIN NALONNIL JOSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SC0200XCritical Care Medicine Clinical Nurse Specialist9554932FL

General Provider Information

NPI Number : 1174475388
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN NALONNIL JOSE
Provider Business Mailing Address
First Line : 5113 NW 121ST DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3502
Country : US
Telephone Number : 516-582-9331
Fax Number :
Provider Business Practice Location Address
First Line : 5113 NW 121ST DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3502
Country : US
Telephone Number : 516-582-9331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ KEVIN NALONNIL JOSE ” Practice Location

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