Individual
STEPHANIE MEDIAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
8950 N KENDALL DR, MIAMI, FL 33176-2144
(786) 596-5959
Mailing address
19741 NW 7TH CT, MIAMI GARDENS, FL 33169-3175
(786) 768-4978
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN11025204
FL
Other
Enumeration date
03/21/2023
Last updated
06/04/2024
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