MEDICARE: SMP HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1316874704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMP HEALTH, LLC

Provider Business Mailing Address
First Line	:	5394 GRAND PARK PL
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-1451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 W HILLSBORO BLVD STE 304
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9474
Country	:	US
Telephone Number	:	754-210-9208
Fax Number	:	800-563-1630

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MS. SOFIA PIA MIRANDA-PASQUALINI
Credential	:	FNP-BC, PMHNP-BC
Telephone Number	:	754-210-9208

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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