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

Nikki Joseph

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174057137

Nikki Joseph is a Family Practice in Sunrise, Florida. Qualified in 2017, 9 years ago. Practices with East Florida Primary Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12651 W Sunrise Blvd Ste 202
Sunrise, FL 33323-0906
Phone: (954) 838-8801
Fax: (954) 838-8807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS16740 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174057137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2017
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice East Florida Primary Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sunrise