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NPI Code Detail

MEDICARE: ALBERTO E VADILLO MD PA

MEDICARE: ALBERTO E VADILLO MD PA
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
1207RC0000XCardiovascular Disease Physician

Other Identifiers

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

General Provider Information

NPI Number : 1770757783
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBERTO E VADILLO MD PA
Provider Business Mailing Address
First Line : PO BOX 816759
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33081-0759
Country : US
Telephone Number : 305-674-1233
Fax Number : 954-964-6084
Provider Business Practice Location Address
First Line : 4300 ALTON RD
Second Line : SUITE 2220
City : MIAMI BEACH
State : FL
Zip : 33140-2800
Country : US
Telephone Number : 305-674-2533
Fax Number : 954-964-6084
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALBERTO E VADILLO
Credential : M.D.
Telephone Number : 305-674-2533
Provider Enumeration Date : 04/22/2008
Last Update Date : 07/07/2008

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Directions to “ALBERTO E VADILLO MD PA ” Practice Location

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