Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nucleus Medical Inc

Organization Family Nurse Practitioner · NPI 1063210524

Nucleus Medical Inc is a Family Nurse Practitioner in Lauderdale Lakes, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4850 W Oakland Park Blvd Ste 202
Lauderdale Lakes, FL 33313-7260
Phone: (305) 924-7726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1063210524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Biju Antony — Ceo · (305) 924-7726
Other names Nucleus Psychiatry Medical Inc
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address12941 Nw 2nd St Apt 204, Pembroke Pines, FL 33028-2233

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