Healthcare Provider Details

I. General information

NPI: 1518569912
Provider Name (Legal Business Name): EUGENIA PADILLA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2020
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SW 6TH ST
POMPANO BEACH FL
33060-7917
US

IV. Provider business mailing address

13475 SW 9TH ST APT A210
PEMBROKE PINES FL
33027-6448
US

V. Phone/Fax

Practice location:
  • Phone: 754-220-0126
  • Fax: 954-951-7058
Mailing address:
  • Phone: 786-299-9695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11009291
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: