Healthcare Provider Details

I. General information

NPI: 1245481944
Provider Name (Legal Business Name): AMIT BADIYE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 SW 16TH ST
GAINESVILLE FL
32608-1128
US

IV. Provider business mailing address

1120 NW 14TH ST ROOM 1130
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9064
  • Fax: 352-846-0314
Mailing address:
  • Phone: 305-243-7067
  • Fax: 305-355-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number0101267281
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME109166
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 109166
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: