Active NPI
Max Guilherme Nascimento Junior, PA
- Physician Assistant
- Coral Springs, FL
National Provider Identifier
1184552234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3145-P.A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3145-P.A | PR | MD | Physician 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.