JAMES JOSEPH PETILLO M.D.
NPI 1376591917
Emergency Medicine in Ft Lauderdale, FL

Active since May 05, 2006
3325 GRIFFIN ROAD, # 257, FT LAUDERDALE, FL 33312(954) 404-0664(954) 964-4418 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Joseph Petillo M.d. NPPES

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

JAMES JOSEPH PETILLO M.D. (NPI 1376591917) is an individual emergency medicine provider in Ft Lauderdale, Florida, licensed in Florida (ME40178) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1376591917
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES JOSEPH PETILLOCredential: M.D.
Location Address3325 GRIFFIN ROAD, # 257Ft Lauderdale, FL 33312-5500
Mailing Address3325 Griffin Road, # 257Ft Lauderdale, FL 33312-5500 · (954) 404-0664 · Fax (954) 964-4418
Fax(954) 964-4418
Sole ProprietorYes
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 31, 2009
NPI 1376591917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME40178
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedLegal MedicineTaxonomy 173000000X · License ME40178 (FL)
3325 GRIFFIN ROAD, Ft Lauderdale, FL 33312

Other Identifiers 2

Medicare UPIND27762FL
Medicare ID-Type Unspecified94046FL

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 James Petillo's NPI number?

The NPI number for James Petillo is 1376591917. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is James Petillo located?

James Petillo practices at 3325 Griffin Road # 257, Ft Lauderdale, FL 33312. The listed phone number is (954) 404-0664.

What is James Petillo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for James Petillo was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.