Free National NPI Number Registry

David W Badolato

Home > David W Badolato

 

NPI Number Detailed Information

Provider Information:

Name: David W Badolato
Gender: M
Provider License Number If Given: ME76812

NPI Information:

NPI: 1194728121
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 1/10/2008

Provider Business Mailing Address:

Address: 6300 N. WICKHAM RD SUITE 101
Melbourne, FL 32940
Phone Number: 3214331534
Fax Number:

Provider Business Practice Location Address:

Address: 6300 N WICKHAM RD STE 101
Melbourne, FL 32940
Phone Number: 3212532169
Fax Number: 3212531720

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: FL

Top Doctors in FL