Samantha Shoshana Petrillo, AGACNP-BC - Nurse Practitioner in Fort Lauderdale, FL

Samantha Shoshana Petrillo, AGACNP-BC is a Nurse Practitioner - Acute Care based in Fort Lauderdale, Florida. Samantha Shoshana Petrillo is licensed to practice in Florida (license number 11042570) and her current practice location is 1601 S Andrews Ave Fl 3, Fort Lauderdale, Florida. She can be reached at her office (for appointments etc.) via phone at (954) 847-4000.

NPI number for Samantha Shoshana Petrillo is 1003782228 and her current mailing address is 2476 Se 14th St, Pompano Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003782228.

Contact Information

Samantha Shoshana Petrillo, AGACNP-BC
1601 S Andrews Ave Fl 3,
Fort Lauderdale, FL 33316-2509
(954) 847-4000
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Shoshana Petrillo
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1601 S Andrews Ave Fl 3, Fort Lauderdale, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003782228
  • Provider Enumeration Date: 10/14/2025
  • Last Update Date: 10/14/2025

Medical Identifiers

Medical identifiers for Samantha Shoshana Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003782228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 11042570 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Shoshana Petrillo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Shoshana Petrillo, AGACNP-BC
2476 Se 14th St,
Pompano Beach, FL 33062-7220

Ph: () -
Samantha Shoshana Petrillo, AGACNP-BC
1601 S Andrews Ave Fl 3,
Fort Lauderdale, FL 33316-2509

Ph: (954) 847-4000

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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