Dr. Stephen K Badolato
Family Doctor - Sports Medicine
6300 N Wickham Rd Ste 101 -108
Melbourne
, Florida 32940-2028
Dr. Stephen K Badolato
Family Doctor - Sports Medicine
6300 N Wickham Rd Ste 101 -108
Melbourne
, Florida 32940-2028
(321) 253-2169
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Stephen K Badolato
- 247 Lansing Island Dr
- Indian Harbour Beach, FL
- Zip : 32937-5102
- Phone : (321) 253-2169
Second Address
- Dr. Stephen K Badolato
- 6300 N Wickham Rd Ste 101 -108
- Melbourne, FL
- Zip : 32940-2028
- Fax : (321) 253-1720
- Phone : (321) 253-2169
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME78710 | FL |
National Provider Identifier
| NPI | 1194728832 |
|---|---|
| Provider Name | Dr. Stephen K Badolato |
| First Address | Indian Harbour Beach, FL 32937-5102 |
| Second Address | Melbourne, FL 32940-2028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2005 |
| Last Update Date | 22/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H48987 | (02) | FL |
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.