Healthcare Provider Details

I. General information

NPI: 1639614118
Provider Name (Legal Business Name): STEPHANIE G MARGIOTIS DNP, ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2016
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10796 PINES BLVD STE 205
PEMBROKE PINES FL
33026-3919
US

IV. Provider business mailing address

10796 PINES BLVD STE 205
PEMBROKE PINES FL
33026-3919
US

V. Phone/Fax

Practice location:
  • Phone: 954-885-5555
  • Fax:
Mailing address:
  • Phone: 954-885-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9320579
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: