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NPI Code Detail

MEDICARE: RITU BADOLA M.D.

MEDICARE: RITU BADOLA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME88667FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME88667OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376529784
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITU BADOLA M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number : 865-381-1572
Provider Business Practice Location Address
First Line : 7649 W COLONIAL DR STE 115
Second Line :
City : ORLANDO
State : FL
Zip : 32818-7423
Country : US
Telephone Number : 407-522-2080
Fax Number : 833-963-0115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 02/17/2026

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Directions to “ RITU BADOLA M.D.” Practice Location

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