MEDICARE: DR. JILL F RODILA MD

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
1	207W00000X	Ophthalmology Physician	ME87752	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1568487676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL F RODILA MD

Provider Business Mailing Address
First Line	:	2701 PGA BLVD STE C
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 PGA BLVD STE C
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2982
Country	:	US
Telephone Number	:	561-000-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	11/25/2025

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