Healthcare Provider Details

I. General information

NPI: 1376212050
Provider Name (Legal Business Name): STEVEN M CARDENAS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 E OAKLAND PARK BLVD STE 200
OAKLAND PARK FL
33334-4434
US

IV. Provider business mailing address

1200 SW 145TH AVE
PEMBROKE PINES FL
33027-6238
US

V. Phone/Fax

Practice location:
  • Phone: 954-565-0875
  • Fax: 954-565-0876
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11015268
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11015268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: