Individual
MR. JOSE GABRIEL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, AGACNP-BC
Contact information
Practice address
11401 NW 29TH PL, SUNRISE, FL 33323-1638
(305) 799-6552
Mailing address
11401 NW 29TH PL, SUNRISE, FL 33323-1638
(305) 799-6552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9532123
FL
363L00000X
Nurse Practitioner
APRN11036668
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11036668
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036668
FL
Other
Enumeration date
12/05/2024
Last updated
03/29/2026
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