Individual provider Active NPI

Max Guilherme Nascimento Junior, PA

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1184552234
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3145-P.A Issued in PR
Practice address
10870 Coral St
Coral Springs, FL 33076-2217
Phone
(954) 994-4147
NPI assigned
May 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 3145-P.A PR Primary

Addresses

Primary practice location

10870 Coral St
Coral Springs, FL 33076-2217

Mailing address

10870 Coral St
Coral Springs, FL 33076-2217
Phone (954) 994-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3145-P.APRMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1184552234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 CORAL ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762217",
            "telephone_number": "954-994-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 CORAL ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762217",
            "telephone_number": "954-994-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASCIMENTO JUNIOR",
        "first_name": "MAX",
        "middle_name": "GUILHERME",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3145-P.A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.