Provider Demographics
NPI:1053784769
Name:MAGARINO, STEPHANIE (ARNP/AANP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MAGARINO
Suffix:
Gender:F
Credentials:ARNP/AANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18511 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3821
Mailing Address - Country:US
Mailing Address - Phone:786-417-4488
Mailing Address - Fax:
Practice Address - Street 1:18511 NW 19TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3821
Practice Address - Country:US
Practice Address - Phone:786-417-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9365003363LA2200X
FLAPRN9365003363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health