Organization
VIVIAN BILASANO MD LLC
Active
Other names
BCK PrimeCARE, BCK Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN BILASANO (MD)
(305) 502-5272
Entity
Organization
Contact information
Practice address
17913 NW 7TH ST STE 101, PEMBROKE PINES, FL 33029-2811
(954) 320-7999
(954) 320-7601
Mailing address
17913 NW 7TH ST STE 101, PEMBROKE PINES, FL 33029-2811
(954) 320-7999
(954) 320-7601
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 77619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001237900
—
FL
01
—
1316140262
NPI
FL
01
—
1821002825
NPI
—
05
—
257505100
—
FL
Enumeration date
06/03/2015
Last updated
03/13/2026
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