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

Fabrina Gilot-Gousse

Individual provider Gerontology Nurse Practitioner · NPI 1710429485

Fabrina Gilot-Gousse is a Nurse Practitioner in Tamarac, Florida. Qualified in 2016, 10 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

7101 W McNab Rd Ste 101
Tamarac, FL 33321-5351
Phone: (954) 722-5600
Fax: (855) 252-2845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 — (954) 932-8619

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence ARNP 9406404 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP 9406404 (FL)

Record details

NPI number1710429485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2016
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tamarac