Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio G. Revilla Jr , MD PA

Organization Vascular Surgery Physician · NPI 1548532088

Antonio G. Revilla Jr , MD PA is a Vascular Surgery Physician in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1880 E Commercial Blvd Ste 3
Fort Lauderdale, FL 33308-3747
Phone: (954) 772-0949
Fax: (954) 772-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence ME0021737 (FL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence ME0021737 (FL)

Record details

NPI number1548532088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Revilla — President · (954) 772-0949
NPI enumeratedJanuary 30, 2012
Last updated in NPPESFebruary 17, 2012
Mailing address1880 E Commercial Blvd, Suite 3, Fort Lauderdale, FL 33308-3747

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