Healthcare Provider Details

I. General information

NPI: 1316874704
Provider Name (Legal Business Name): SMP HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3275 W HILLSBORO BLVD STE 304
DEERFIELD BEACH FL
33442-9474
US

IV. Provider business mailing address

5394 GRAND PARK PL
BOCA RATON FL
33486-1451
US

V. Phone/Fax

Practice location:
  • Phone: 754-210-9208
  • Fax: 800-563-1630
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SOFIA PIA MIRANDA-PASQUALINI
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC, PMHNP-BC
Phone: 754-210-9208