Healthcare Provider Details

I. General information

NPI: 1083272215
Provider Name (Legal Business Name): EMILY ROSE RIBEIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ROSE DILILLO MD

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 DANIELS RD
WINTER GARDEN FL
34787-4975
US

IV. Provider business mailing address

6535 NEMOURS PKWY
ORLANDO FL
32827-7884
US

V. Phone/Fax

Practice location:
  • Phone: 407-650-7715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME155480
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME155480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: