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

Colleen Hosp

Individual provider General Practice Registered Nurse · NPI 1962826024

Colleen Hosp is a Nurse Practitioner in Fort Myers, Florida. Qualified in 1994, 32 years ago. Practices with Jose M Gonzalez-Canal P A, a 4-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
32
Licensed in
FL, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

12550 New Brittany Blvd
Fort Myers, FL 33907-3655
Phone: (239) 343-9180
Fax: (239) 343-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9372226 (FL)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN 387132-1 (NY)

Record details

NPI number1962826024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESNovember 3, 2016
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Jose M Gonzalez-Canal P A — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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