Individual
KYLE JAMES OLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Mailing address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
JR56579000
FL
2085U0001X
Diagnostic Ultrasound Physician
1417679762
FL
247ZC0005X
Clinical Laboratory Director (Non-physician)
10D2317428
FL
261Q00000X
Clinic/Center
1003647587
FL
261QC1500X
Community Health Clinic/Center
1003647587
FL
261QM1300X
Multi-Specialty Clinic/Center
1245103449
FL
261QU0200X
Urgent Care Clinic/Center
1003647587
FL
363L00000X
Nurse Practitioner
Primary
APRN11021418
FL
363LA2100X
Acute Care Nurse Practitioner
1003647587
FL
363LA2200X
Adult Health Nurse Practitioner
1245103349
FL
363LP0200X
Pediatric Nurse Practitioner
1245103349
FL
363LP2300X
Primary Care Nurse Practitioner
1245103349
FL
363LS0200X
School Nurse Practitioner
1245103349
FL
363LW0102X
Women's Health Nurse Practitioner
1245103349
FL
363LX0106X
Occupational Health Nurse Practitioner
1003647587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003647587
NPI
FL
01
—
10D2317428
CLIA
FL
01
—
1245103449
NPI
FL
05
—
124809600
—
FL
01
—
1417679762
NPI
FL
01
—
JR5657900
RADIOLOGY X RAY
FL
05
—
TU148
—
FL
05
—
TU149
—
FL
Enumeration date
09/14/2022
Last updated
05/05/2026
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