Organization
D BADOLATO PA
Active
Other names
Premier Urgent CareBadolato Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BADOLATO MD (PHYSICIAN/OWNER)
(321) 253-2169
Entity
Organization
Contact information
Practice address
6300 N WICKHAM RD, SUITE 101, MELBOURNE, FL 32940-2028
(321) 253-2169
(321) 253-1720
Mailing address
6300 N WICKHAM RD, SUITE 101, MELBOURNE, FL 32940-2028
(321) 253-2169
(321) 253-1720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
09/28/2009
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