Healthcare Provider Details

I. General information

NPI: 1154256386
Provider Name (Legal Business Name): STEPHANIE BELLO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10923 SW 114TH ST
MIAMI FL
33176-3917
US

IV. Provider business mailing address

10923 SW 114TH ST
MIAMI FL
33176-3917
US

V. Phone/Fax

Practice location:
  • Phone: 786-273-5375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11048465
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: