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Antonio G. Revilla Jr., M.d. P.a.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Lauderdale, Florida
NPI 1548532088

Antonio G. Revilla Jr., M.d. P.a. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Fort Lauderdale, FL. Antonio G. Revilla Jr., M.d. P.a. practices in Fort Lauderdale, FL. The NPI Number for Antonio G. Revilla Jr., M.d. P.a. is 1548532088 and holds a License No. ME0021737 (Florida).

The current practice location address for Antonio G. Revilla Jr., M.d. P.a. is 1880 E Commercial Blvd, Fort Lauderdale, FL and can be reached out via phone at 954-772-0949 and via fax at 954-772-0957. You can also correspond with Antonio G. Revilla Jr., M.d. P.a. through the mailing address at 1880 E COMMERCIAL BLVD, FORT LAUDERDALE, FL - 33308-3747 (mailing address contact number: 954-772-0949).

Location: 1880 E Commercial Blvd, Fort Lauderdale, FL, 33308-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548532088
Provider Name
Antonio G. Revilla Jr., M.d. P.a.
Credential
Provider Entity Type
Organization
Address
1880 E Commercial Blvd, Fort Lauderdale, FL, 33308-3747
Phone Number
954-772-0949
Fax Number
954-772-0957
Provider Enumeration Date
01/30/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1880 E Commercial Blvd
City
Fort Lauderdale
State
Florida
Zip
33308-3747
Phone Number
954-772-0949
Fax Number
954-772-0957
person
Provider Business Mailing Address Details
Address
1880 E Commercial Blvd
City
Fort Lauderdale
State
Florida
Zip
33308-3747
Phone Number
954-772-0949
Fax Number
954-772-0957
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME0021737 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
ME0021737 (Florida)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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