MEDICARE: EUGENIA PADILLA APRN

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	363L00000X	Nurse Practitioner	APRN11009291	FL

General Provider Information

NPI Number	:	1518569912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENIA PADILLA APRN

Provider Business Mailing Address
First Line	:	13475 SW 9TH ST APT A210
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33027-6448
Country	:	US
Telephone Number	:	786-299-9695
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 SW 6TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-7917
Country	:	US
Telephone Number	:	754-220-0126
Fax Number	:	954-951-7058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	12/05/2025

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