MEDICARE: DR. MASON VILARDO DC

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	208D00000X	General Practice Physician	DC-05247	OH
2	111N00000X	Chiropractor	DC-05247	OH

General Provider Information

NPI Number	:	1851092027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MASON VILARDO DC

Provider Business Mailing Address
First Line	:	1401 REED CANAL RD UNIT 17203
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-9491
Country	:	US
Telephone Number	:	513-474-7378
Fax Number	:	877-775-2232

Provider Business Practice Location Address
First Line	:	1166 MACK BAYOU RD
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-3104
Country	:	US
Telephone Number	:	513-474-7378
Fax Number	:	877-775-2232

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

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	12/17/2025

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Directions to “ DR. MASON VILARDO DC” Practice Location

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