Craig J Badolato
Hematology & Oncology
1430 Pine St
Melbourne
, Florida 32901-3119
Craig J Badolato
Hematology & Oncology
1430 Pine St
Melbourne
, Florida 32901-3119
(321) 636-7180
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Craig J Badolato
- Po Box 534595
- Atlanta, GA
- Zip : 30353-4595
- Fax : (321) 636-7180
- Phone : (321) 636-2111
Second Address
- Craig J Badolato
- 1430 Pine St
- Melbourne, FL
- Zip : 32901-3119
- Fax : (321) 952-6296
- Phone : (321) 674-5050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | ME61815 | FL |
National Provider Identifier
| NPI | 1013998970 |
|---|---|
| Provider Name | Craig J Badolato |
| First Address | Atlanta, GA 30353-4595 |
| Second Address | Melbourne, FL 32901-3119 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 26/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03714 | WELLCARE (01) | FL |
| 110067794 | RAILROAD MEDICARE (01) | FL |
| 15118 | BLUE CROSS BLUE SHIELD (01) | FL |
| 373692000 | (05) | FL |
| 4268178 | AETNA (01) | FL |
| 667172 | AETNA (01) | FL |
| 808490001 | CIGNA (01) | FL |
| E40815 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.