Healthcare Provider Details

I. General information

NPI: 1083977359
Provider Name (Legal Business Name): STEPHANIE N URBAN-GALVEZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 10/16/2025
Certification Date: 12/30/2019
Deactivation Date: 09/26/2025
Reactivation Date: 10/16/2025

III. Provider practice location address

18425 PINES BLVD
PEMBROKE PINES FL
33029-1415
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3923
US

V. Phone/Fax

Practice location:
  • Phone: 954-430-9300
  • Fax: 954-450-2833
Mailing address:
  • Phone: 954-430-9300
  • Fax: 954-450-2833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP8423
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS14680
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: