Individual provider Active NPI

Stephanie Cal, PHARMD, FNP-BC, BSN

  • Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1730959065
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11042162 Issued in FL
Practice address
401 Coral Way Ste 207
Coral Gables, FL 33134-4924
Phone
(305) 445-2941
NPI assigned
Jan 8, 2024
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9660989 FL
Nurse Practitioner 363L00000X APRN11042162 FL Primary
Pharmacist 183500000X PS66327 FL

Addresses

Primary practice location

401 Coral Way Ste 207
Coral Gables, FL 33134-4924

Mailing address

12600 SW 120TH St Ste 113
Miami, FL 33186-9116
Phone (305) 971-1210

Other practice location 1

16690 SW 88th St
Miami, FL 33196-1002
Phone (305) 408-7956

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020000248 FL Practitioner - Nurse Practitioner 9739677196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Dermatology Group, Inc.Group PAC ID 7618026253, 8 clinicians

Practice addresses (Care Compare)

12600 SW 120TH St
Suite 113
Miami, FL 33186-9116
Phone (305) 971-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RN9660989FLMDRegistered Nurse
PS66327FLMDPharmacist
APRN11042162FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Dermatology Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
South Florida Dermatology Associates, Inc. Past Accepting new patients
Walgreen Co PastSince Jan 14, 2024 Accepting new patients
Walgreen Co PastSince Jan 14, 2024 Accepting new patients

Locations

401 Coral Way
Ste 207
Coral Gables, FL 33134
Phone (305) 445-2941

12600 SW 120th St
Ste 113
Miami, FL 33186
Phone (305) 971-1210

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1730959065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SW 120TH ST STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869116",
            "telephone_number": "305-971-1210",
            "fax_number": "305-971-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-445-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16690 SW 88th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961002",
            "country_code": "US",
            "telephone_number": "305-408-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAL",
        "first_name": "STEPHANIE",
        "credential": "PHARMD, FNP-BC, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9660989",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11042162",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS66327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.