Healthcare Provider Details

I. General information

NPI: 1679040778
Provider Name (Legal Business Name): MAGALIE PIERRE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 E MCNAB RD
POMPANO BEACH FL
33060-9238
US

IV. Provider business mailing address

5217 NW 106TH DR
CORAL SPRINGS FL
33076-2797
US

V. Phone/Fax

Practice location:
  • Phone: 954-900-8446
  • Fax: 954-388-5949
Mailing address:
  • Phone: 954-544-8024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number11000306
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11000306
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: