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Antonio G. Revilla Jr., M.D. P.A.

Vascular Surgery Physician in Fort Lauderdale, FL · enumerated 2012 · authorized official Antonio Revilla, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548532088

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Registry record

Entity type Organization (Type 2)
Legal business name Antonio G. Revilla Jr., M.D. P.A.
Practice address 1880 E Commercial Blvd, Suite 3, Fort Lauderdale, FL, 33308
Fax (954) 772-0957
Enumeration date Jan 30, 2012
Last updated in NPPES Feb 17, 2012

Taxonomy & classification

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License ME0021737 (FL) Primary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License ME0021737 (FL) Secondary

Authorized official

Name Antonio Revilla
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Antonio G. Revilla Jr., M.D. P.A.?
Antonio G. Revilla Jr., M.D. P.A. is registered in NPPES as a Vascular Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-17.