Individual ProviderStephanie ObandoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11398 Quail Roost Dr Fl 6551, Miami, FL 33157-6551(866) 389-2727PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Obando does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194484519Provider TypeIndividualFull NameObando, StephanieCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date12/13/2021Last Updated7/22/2022Contact InformationPractice LocationPractice Address11398 Quail Roost Dr Fl 6551, Miami, FL 33157-6551Phone(866) 389-2727FaxUnlisted FaxMailing LocationMailing Address11398 Quail Roost Dr Fl 6551, Miami, FL 33157-6551Phone(866) 389-2727FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11016637Florida