Individual
DAVID W BADOLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 N WICKHAM RD, STE 101, MELBOURNE, FL 32940-2028
(321) 253-2169
(321) 253-1720
Mailing address
6300 N. WICKHAM RD, SUITE 101, MELBOURNE, FL 32940
(321) 433-1534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76812
FL
Other
Enumeration date
05/23/2005
Last updated
01/10/2008
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