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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE NIELSEN, DO

Active Sole Proprietor

KYLE NIELSEN, DO is a Emergency Medicine healthcare provider located in PORT ST LUCIE, Florida. NPI 1205490372 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PORT ST LUCIE, FL

Registration Details

NPI Number
1205490372
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2019 (7.2915007834705 yrs)
Last Updated
Jun 1, 2023
License
OS19626 (FL)
Sole Proprietor
Yes

Practice Information

Address
1800 SE TIFFANY AVE
PORT ST LUCIE, FL, 349527521
Browse FL providers · Browse ZIP 34952
Phone
6235563784
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in PORT ST LUCIE, FL

Name Credential NPI
MICHAEL DEMASI M.D. 1306832530
DR. SYLVIE ANNE RIMMER M.D. 1356393334
VERNON THOMAS ATREIDIS MD 1457304370
YVETTE WIRTA-CLARKE DO 1962456426
JOSEPH RICHARD CARIELLO MD 1124075197
MICHAEL A. MELONI MD 1902853971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.