Individual provider Active NPI

David Gallimore Paulino, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255143624
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037129 Issued in FL
Practice address
20116 SW 124TH PL
Miami, FL 33177-5256
Phone
(786) 366-6367
NPI assigned
Jan 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11037129 FL Primary

Addresses

Primary practice location

20116 SW 124TH PL
Miami, FL 33177-5256

Mailing address

20116 SW 124TH PL
Miami, FL 33177-5256
Phone (786) 366-6367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216002172 FL Practitioner - Nurse Practitioner 8921592098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20116 SW 124TH PL
Miami, FL 33177-5256

3539 W 20TH Ave
Suite 130
Hialeah, FL 33012-4529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11037129FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Comprehensive Urgent Care LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

3595 W 20th Ave
Ste 130
Hialeah, FL 33012
Phone (305) 456-7951

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1255143624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20116 SW 124TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775256",
            "telephone_number": "786-366-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20116 SW 124TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775256",
            "telephone_number": "786-366-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIMORE PAULINO",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.