Antonio G. Revilla Jr., M.D. P.A.

LBN: Antonio G. Revilla Jr., M.D. P.A.
Antonio G. Revilla Jr., M.D. P.A. is an health care organization with primary practice located at 1880 E Commercial Blvd Suite 3, Fort Lauderdale FL 33308-3747. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Antonio G. Revilla Jr., M.D. P.A. can be contacted via phone (954) 772-0949, or through Revilla, Antonio G. via phone (954) 772-0949.

Contact Information

Primary practice address
1880 E Commercial Blvd Suite 3 Fort Lauderdale FL 33308-3747
Phone: (954) 772-0949
Fax: (954) 772-0957
Website:
Map and Directions
Authorized official contact:
Name: Revilla, Antonio G. Doctor of Medicine (MD)
Phone: (954) 772-0949

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0021737 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME0021737 Florida

Profile Details

NPI number 1548532088
LBN Legal business name Antonio G. Revilla Jr., M.D. P.A.
DBA Doing business as
Authorized official Revilla, Antonio G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2012
Last updated Feb 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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