Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB10650400 | NJ |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS17154 | FL |
NPI | 1013394162 |
---|---|
Provider Name | Aileen Hilario Padilla |
First Address | Fort Myers, FL 33919-0400 |
Second Address | Fort Myers, FL 33919-5119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2015 |
Last Update Date | 07/10/2020 |