MEDICARE: JEANINE TRABANCO MSN, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11037628	FL

General Provider Information

NPI Number	:	1386443109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANINE TRABANCO MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:	305-662-8378
Fax Number	:	305-663-6829

Provider Business Practice Location Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:	305-662-8378
Fax Number	:	305-663-6829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	12/09/2025

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