ANTONIO G REVILLA

FORT LAUDERDALE, FL
NPI1013934470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: FL  ME21737)
Enumeration Date2006-07-15
Last Update Date2013-03-06
Business Address
-- ANTONIO G REVILLA MD
1880 E COMMERCIAL BLVD SUITE 3
FORT LAUDERDALE, FL 33308-3747
Phone number: 954-772-0949
Mailing Address
-- ANTONIO G REVILLA MD
1880 E COMMERCIAL BLVD SUITE 3
FORT LAUDERDALE, FL 33308-3747
Phone number: 954-772-0949
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