Active NPI
Prosper Path Health Inc
- Family Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1649187584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PROSPER PATH HEALTH INC
- Practice address
- 3758 SW 30TH Ave
Fort Lauderdale, FL 33312-6708 - Phone
- (305) 389-8216
- NPI assigned
- Aug 26, 2026
- Last updated
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kylee Gonzalez
- Title
- President
- Phone
- (305) 389-8216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
3758 SW 30TH Ave
Fort Lauderdale, FL 33312-6708
Mailing address
4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone (305) 389-8216
National Provider Directory
National Provider DirectoryLocations
3758 SW 30th Ave
Fort Lauderdale, FL 33312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1649187584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 HOLLYWOOD BLVD STE 555S",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216853",
"telephone_number": "305-389-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3758 SW 30TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126708",
"telephone_number": "305-389-8216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPER PATH HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "KYLEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-389-8216",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.