Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Shoshana Petrillo, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1003782228

Samantha Shoshana Petrillo, AGACNP-BC is a Nurse Practitioner in Fort Lauderdale, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2025, 1 year ago. Practices with North Broward Hospital District, a 190-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1601 S Andrews Ave Fl 3
Fort Lauderdale, FL 33316-2509
Phone: (954) 763-6655
Fax: (954) 763-6799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11042570 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11042570 (FL)

Record details

NPI number1003782228
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice North Broward Hospital District — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale