Provider Demographics
NPI:1538643465
Name:BORNSTEIN, JOSEPH A (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:BORNSTEIN
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 SW 98TH TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4757
Mailing Address - Country:US
Mailing Address - Phone:954-751-2776
Mailing Address - Fax:954-473-0734
Practice Address - Street 1:5223 NW 33RD AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6302
Practice Address - Country:US
Practice Address - Phone:754-900-1979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-17
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9338415363LF0000X
FLAPRN9338415363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily