Organization Active NPI

Prosper Path Health Inc

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1649187584
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.