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Contact Information

KYLE J OLEARY, ARNP
1442 NE 26TH ST
WILTON MANORS, FL33305-1322
 Phone: 954-391-7160
 Fax: 954-393-0811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Community Health

261QC1500X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Occupational Health

363LX0106X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
 

Urgent Care

261QU0200X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYLE J OLEARY · (Male)

NPI Number 1417679762
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/14/2022
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 1003647587
  • FL License # 10D2317428
  • FL License # 1245103349
  • FL License # 1245103449
  • FL License # 1417679762
  • FL License # APRN11021418
  • FL License # JR56579000
  • FL Medicaid 124809600
  • FL Other 10D2317428 CLIA
  • FL Other 1003647587 NPI
  • FL Other 1245103449 NPI
  • FL Other 1417679762 NPI
  • FL Other JR5657900 RADIOLOGY X RAY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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