Individual
DR. STEPHEN K BADOLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 N WICKHAM RD, STE 101 -108, MELBOURNE, FL 32940-2028
(321) 253-2169
(321) 253-1720
Mailing address
247 LANSING ISLAND DR, INDIAN HARBOUR BEACH, FL 32937-5102
(321) 253-2169
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME78710
FL
Other
Enumeration date
05/26/2005
Last updated
10/22/2007
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