Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio G Revilla Jr., MD

Individual provider Specialist · NPI 1013934470

Antonio G Revilla Jr., MD is a Specialist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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

Specialist (primary) Taxonomy 174400000X · Licence ME21737 (FL)

Record details

NPI number1013934470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 6, 2013

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