1871588350 NPI number — MRS. LINDA J BADILLO MD

Table of content: MRS. LINDA J BADILLO MD (NPI 1871588350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871588350 NPI number — MRS. LINDA J BADILLO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BADILLO
Provider First Name:
LINDA
Provider Middle Name:
J
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871588350
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RENAL HYPERTENSION CENTER
Provider Second Line Business Mailing Address:
14134 NEPHRONE LANE
Provider Business Mailing Address City Name:
HUDSON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34667
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-863-5418
Provider Business Mailing Address Fax Number:
727-869-8626

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RENAL HYPERTENSION CENTER
Provider Second Line Business Practice Location Address:
14134 NEPHRONE LANE
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-863-5418
Provider Business Practice Location Address Fax Number:
727-869-8626
Provider Enumeration Date:
09/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  ME66669 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2504896 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 593068073 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0004646644 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1488952 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 593068073 . This is a "PCHS" identifier . This identifiers is of the category "OTHER".
  • Identifier: PRO0018 . This is a "QUALITY/DELTA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 593068073 . This is a "HUMANA MILITARY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 818295 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 09597 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000002512762 . This is a "PRINCIPAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01243 . This is a "UNIVERSAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10501401 . This is a "CITRUS HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 818295 . This is a "CCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1007ID# . This is a "OPTIMUM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214617 . This is a "AVMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 376839200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 593068073 . This is a "SOUTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 593068073 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".




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