Healthcare Provider Details

I. General information

NPI: 1992642045
Provider Name (Legal Business Name): STEPHANIE MARSHALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N FLAGLER DR STE 350
WEST PALM BEACH FL
33401-4349
US

IV. Provider business mailing address

515 N FLAGLER DR STE 350
WEST PALM BEACH FL
33401-4349
US

V. Phone/Fax

Practice location:
  • Phone: 561-702-0397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE MARSHALL
Title or Position: CEO
Credential:
Phone: 561-702-0397