Provider Type Icon

JAMES JOSEPH PETILLO M.D. NPI 1376591917


NPI Information

NPI: 1376591917
Provider Name: JAMES JOSEPH PETILLO, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
3325 GRIFFIN ROAD
# 257
FT LAUDERDALE, FL
ZIP 33312
Phone: (954) 404-0664
Get Directions

James Joseph Petillo, M.D. is an emergency medicine in Ft Lauderdale, FL. The provider is 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. James Joseph Petillo, M.D. NPI is 1376591917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3325 GRIFFIN ROAD
# 257
FT LAUDERDALE, FL
ZIP 33312-500
Phone: (954) 404-0664
Fax: (954) 964-4418

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineME40178FLORIDANo
2207P00000XEmergency MedicineME40178FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D27762MEDICARE UPINFLORIDA
294046MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.