Antonio G Revilla in Fort Lauderdale - Specialist
Antonio G Revilla - NPI 1013934470
Antonio G Revilla is a Specialist in Fort Lauderdale, Florida. Antonio G Revilla practices all healthcare services and medical treatments related to Specialist. The NPI Number for Antonio G Revilla is 1013934470. The last update date is 2013-03-06.
Antonio G Revilla's current location address is 1880 E Commercial Blvd, Fort Lauderdale, Florida. You can contact this provider via phone number 9547720949 and fax number 9547720957. The mailing address for Antonio G Revilla is 1880 E Commercial Blvd, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonio G Revilla |
|---|---|
| Address | 1880 E Commercial Blvd, Fort Lauderdale, Florida |
| Phone Number | 9547720949 |
| Fax Number | 9547720957 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013934470 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 1880 E Commercial Blvd |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333083747 |
| Phone Number | 9547720949 |
| Fax Number | 9547720957 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME21737 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55667000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Antonio G Revilla?
The Antonio G Revilla has been issued the NPI (National Provider Identifier) 1013934470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Antonio G Revilla is geographically located?
The Antonio G Revilla is physically situated at the following location: 1880 E Commercial Blvd, Fort Lauderdale, FL, 333083747.
What is the Antonio G Revilla's specialty and taxonomy code?
The Antonio G Revilla's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Antonio G Revilla receive the assignment of its 1013934470 from the Centers for Medicare & Medicaid Services?
The Antonio G Revilla was issued its 1013934470 by the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the information regarding Antonio G Revilla, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Antonio G Revilla, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-06.
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