Individual provider Active NPI

Stephanie N Urban-Galvez, DO

  • Pediatrics Physician
  • Pembroke Pines, FL
National Provider Identifier
1083977359
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS14680 Issued in FL
Practice address
18425 Pines Blvd
Pembroke Pines, FL 33029-1415
Phone
(954) 430-9300
Fax
(954) 450-2833
NPI assigned
Jun 20, 2012
Reactivated
Oct 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P8423 TX
Pediatrics Physician 208000000X OS14680 FL Primary

Addresses

Primary practice location

18425 Pines Blvd
Pembroke Pines, FL 33029-1415

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 430-9300

Other identifiers 1

IdentifierTypeStateIssuer
020948300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116004389 FL Practitioner - Pediatric Medicine 0244553071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14680FLMDPediatrics Physician
P8423TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Jan 9, 2024 Accepting new patients
Nova Southeastern University, Inc CurrentSince Jan 9, 2024 Accepting new patients

Locations

3200 S University Dr
#L
Davie, FL 33328

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

Interoperability endpoints

  • Direct secure messaging: surban-galvez@pa.trimed.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1083977359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-430-9300",
            "fax_number": "954-450-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291415",
            "telephone_number": "954-430-9300",
            "fax_number": "954-450-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN-GALVEZ",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2025-10-16",
        "certification_date": "2019-12-30",
        "deactivation_date": "2025-09-26",
        "reactivation_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P8423",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS14680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020948300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.