Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES JOSEPH PETILLO, M.D.
Deactivated Sole ProprietorJAMES JOSEPH PETILLO, M.D. is a Emergency Medicine healthcare provider located in FT LAUDERDALE, Florida. NPI 1376591917 is deactivated in the NPPES registry. Verify at CMS.
Emergency Medicine · FT LAUDERDALE, FL
This NPI has been deactivated.
The record was deactivated on February 9, 2009.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1376591917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (2.7671232876712 yrs)
- Last Updated
- Aug 31, 2009
- Deactivated
- Feb 9, 2009
- Licenses
-
ME40178 (FL)ME40178 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3325 GRIFFIN ROAD# 257FT LAUDERDALE, FL, 333125500Browse FL providers · Browse ZIP 33312
- Phone
- 9544040664
- Fax
- 9549644418
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in FT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MARY MAILLOUX | MD | 1760485437 |
| DR. HARRY W LEE | MD | 1689677387 |
| DR. MACIEJ FERENC | DO | 1467458596 |
| DR. STEVEN ROBERT SCOTT | MD | 1659377463 |
| DR. ISMAIL A DANIA | MD | 1255326070 |
| DR. EDWARD ROYCRAFT | DO | 1689669400 |
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.