Individual
BARBARA MAGELLA DESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(954) 243-4460
Mailing address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1495
(954) 243-4460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003756
FL
363LG0600X
Gerontology Nurse Practitioner
0024195631
VA
Other
Enumeration date
10/02/2019
Last updated
01/13/2026
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