Petillo, James Joseph

Petillo, James Joseph is an sole proprietor health care provider with primary practice located at 3325 Griffin Road # 257, Ft Lauderdale FL 33312-5500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Petillo, James Joseph can be contacted via phone (954) 404-0664.

Contact Information

Primary practice address
3325 Griffin Road # 257 Ft Lauderdale FL 33312-5500
Phone: (954) 404-0664
Fax: (954) 964-4418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME40178 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME40178 Florida

Profile Details

NPI number 1376591917
LBN Legal business name Petillo, James Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Aug 31st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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