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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTONIO G. REVILLA JR., M.D. P.A.

Active Organization

ANTONIO G. REVILLA JR., M.D. P.A. is a Vascular Surgery organization located in FORT LAUDERDALE, Florida. NPI 1548532088 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · FORT LAUDERDALE, FL

Registration Details

NPI Number
1548532088
Provider Type
Organization
NPI Issued
Jan 30, 2012 (14.580310991126 yrs)
Last Updated
Feb 17, 2012
Licenses
ME0021737 (FL)
ME0021737 (FL)

Practice Information

Address
1880 E COMMERCIAL BLVD
SUITE 3
FORT LAUDERDALE, FL, 333083747
Browse FL providers · Browse ZIP 33308
Phone
9547720949
Fax
9547720957
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Organizations in FORT LAUDERDALE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.