Badillo, Raul Jose
Badillo, Raul Jose is an individual health care provider with primary practice located at 2005 Mizell Ave Ste 2100 , Winter Park FL 32792-4126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Badillo, Raul Jose can be contacted via phone (407) 646-7015.Contact Information
Primary practice address
2005 Mizell Ave Ste 2100
Winter Park FL 32792-4126
Phone: (407) 646-7015
Fax: (407) 646-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME107836 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME107836 | Florida |
Profile Details
| NPI number | 1346402732 |
|---|---|
| LBN Legal business name | Badillo, Raul Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Aug 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346402732 | NPPES |
| Florida | MEDICAID | 003628500 |
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