D BADOLATO PA NPI 1659316941

NPI Information

  • NPI: 1659316941
  • Provider Name: D BADOLATO PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PREMIER URGENT CAREBADOLATO FAMILY HEALTH
  • CLIA Number: 10D2096599
  • Address: 6300 N WICKHAM RD
    SUITE 101
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 253-2169

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NPI Details

D BADOLATO PA is a family medicine in Melbourne, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. D BADOLATO PA NPI is 1659316941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Urgent Carebadolato Family Health.

The provider's business location address is:

6300 N WICKHAM RD
SUITE 101
MELBOURNE, FL
ZIP 32940-028
Phone: (321) 253-2169
Fax: (321) 253-1720

The provider's authorized official is David Badolato .
The authorized official title is Physician/owner and has the following contact phone number (321) 253-2169.

The CLIA number assigned to this NPI record is 10D2096599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/28/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15755350001MEDICARE NSCFLORIDA
2K3321MEDICARE 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: 11/21/2025

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