Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO G REVILLA JR., MD
Active Sole ProprietorANTONIO G REVILLA JR., MD is a Specialist healthcare provider located in FORT LAUDERDALE, Florida. NPI 1013934470 is currently active in the NPPES registry. Verify at CMS.
Specialist · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1013934470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (20.064130664404 yrs)
- Last Updated
- Mar 6, 2013
- License
-
ME21737 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1880 E COMMERCIAL BLVDSUITE 3FORT LAUDERDALE, FL, 333083747Browse FL providers · Browse ZIP 33308
- Phone
- 9547720949
- Fax
- 9547720957
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MIICHAEL JOHN ARUTA | M.D. | 1134122963 |
| DR. AMJAD MUNIM | MD | 1881699858 |
| DR. VICENTE LOMBARDO CASTRO | MD | 1922060540 |
| DR. CURTIS B SCHWARTZ | MD | 1780646315 |
| ROBERTO P COQUIS SR. | MD | 1609827161 |
| MR. MARSHALL R. KRUG | BA, LMT, NCTMB | 1831144963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.