Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
KYLE SULLIVAN APRN
NPI 1063344422
Nurse Practitioner - Family in Tamarac, FL
Active since June 01, 2026
About Kyle Sullivan Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE SULLIVAN APRN (NPI 1063344422) is an individual family provider in Tamarac, Florida, licensed in Florida (APRN11047914) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1063344422
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKYLE SULLIVANCredential: APRN
Location Address7431 N UNIVERSITY DR STE 200Tamarac, FL 33321-2956
Mailing Address7431 N University Dr Ste 200Tamarac, FL 33321-2956 · (954) 551-4849
Phone(954) 551-4849
Sole ProprietorYes
Enumeration DateJune 1, 2026
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1063344422 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11047914
7431 N UNIVERSITY DR STE 200, Tamarac, FL 33321
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063344422, enumerated as an "individual" on June 01, 2026.
The provider is located at 7431 N UNIVERSITY DR STE 200 TAMARAC, FL 33321 and the phone number is (954) 551-4849.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
