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ANTONIO G REVILLA JR. MD
NPI 1013934470
Specialist in Fort Lauderdale, FL

Active since July 15, 2006
1880 E COMMERCIAL BLVD, SUITE 3, FORT LAUDERDALE, FL 33308(954) 772-0949(954) 772-0957 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antonio G Revilla Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO G REVILLA JR. MD (NPI 1013934470) is an individual specialist in Fort Lauderdale, Florida, licensed in Florida (ME21737) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013934470
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameANTONIO G REVILLA JR.Credential: MD
Location Address1880 E COMMERCIAL BLVD, SUITE 3Fort Lauderdale, FL 33308-3747
Mailing Address1880 E Commercial Blvd, Suite 3Fort Lauderdale, FL 33308-3747 · (954) 772-0949 · Fax (954) 772-0957
Phone(954) 772-0949
Fax(954) 772-0957
Sole ProprietorYes
Enumeration DateJuly 15, 2006
Last NPPES UpdateMarch 6, 2013
✔ NPI 1013934470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME21737
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1880 E COMMERCIAL BLVD, Fort Lauderdale, FL 33308
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Other Identifiers 3

Medicare ID-Type Unspecified93104FL
Medicare UPIND67406FL
Medicaid055667000FL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE CARDIOVASCULAR SURGEONS OF SOUTH FLORIDA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1880 E COMMERCIAL BLVD, SUITE 6
FORT LAUDERDALE, FL 33308
Broward County (954) 771-8495
DR. FRANK GEORGE BARATTA M.D.
Specialist
1880 E COMMERCIAL BLVD, SUITE 1
FORT LAUDERDALE, FL 33308
Broward County (954) 771-6200
RONALD M TUTTELMAN M.D.
Obstetrics & Gynecology
1880 E COMMERCIAL BLVD, SUITE 4
FORT LAUDERDALE, FL 33308
Broward County (954) 776-4395
ANTONIO G. REVILLA JR., M.D. P.A.
Surgery (Vascular Surgery)
1880 E COMMERCIAL BLVD, SUITE 3
FORT LAUDERDALE, FL 33308
Broward County (954) 772-0949
RONALD M TUTTELMAN MDPA
Obstetrics & Gynecology
1880 E COMMERCIAL BLVD, SUITE 4
FORT LAUDERDALE, FL 33308
Broward County (954) 776-4395
DR. RUBEN A UNGARO M.D.
Specialist
1880 E COMMERCIAL BLVD, SUITE 6
FT LAUDERDALE, FL 33308
Broward County (954) 771-8495
VASCULAR SPECIALISTS OF BROWARD
Radiology (Vascular & Interventional Radiology)
1880 E COMMERCIAL BLVD, SUITE 6
FT LAUDERDALE, FL 33308
Broward County (954) 771-8495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Revilla's NPI number?

The NPI number for Antonio Revilla is 1013934470. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Antonio Revilla located?

Antonio Revilla practices at 1880 E Commercial Blvd Suite 3, Fort Lauderdale, FL 33308. The listed phone number is (954) 772-0949.

What is Antonio Revilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Antonio Revilla was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.