Individual
DR. RAUL JOSE BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 MIZELL AVE STE 2100, WINTER PARK, FL 32792-4126
(407) 646-7015
(407) 646-7935
Mailing address
2005 MIZELL AVE STE 2100, WINTER PARK, FL 32792-4126
(407) 646-7015
(407) 646-7935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107836
FL
207RG0100X
Gastroenterology Physician
Primary
ME107836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003628500
—
FL
Enumeration date
06/27/2008
Last updated
08/19/2020
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