Emil V. Abdalla, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Hollywood, FL
NPI 1477532547 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1477532547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- OS8233 (FL)
- Practice address
- 1150 N 35TH Ave
#400
Hollywood, FL 33021-5424 - Phone
- (954) 963-6363
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitalmd Group Holding LLC
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
603 N Flamingo Rd
262 Sylvia Velarde MD LLC
Pembroke Pines, FL 33028-1013
Phone (954) 251-3186
Hospital & facility affiliations
- Memorial Hospital West
- Memorial Hospital Miramar
- Memorial Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428000227 | FL | Practitioner - Obstetrics/Gynecology | 1850388232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8233 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| All Womens Healthcare of Southern Florida Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| All Womens Healthcare of Southern Florida Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| All Womens Healthcare of South Broward Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| HR Physician Services | Past | Accepting new patients | |
| All Womens Healthcare of South Broward Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1150 N 35th Ave
Ste 400
Hollywood, FL 33021
Phone (954) 963-6363
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
603 N Flamingo Rd
Ste 360
Pembroke Pines, FL 33028
Phone (954) 430-4085
603 N Flamingo Rd
Ste 351
Pembroke Pnes, FL 33028
Phone (954) 430-3866
601 N Flamingo Rd
Ste 205
Pembroke Pnes, FL 33028
Phone (954) 431-1211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS8233 | FL | Yes |
Addresses
Primary practice location
1150 N 35TH Ave
#400
Hollywood, FL 33021-5424
Mailing address
PO Box 452315
Sunrise, FL 33345-2315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260438800 | Medicaid | FL | |
| 51754 | Other | FL | BCBS OF FL |
Other providers in Hollywood, FL
- Kenan Abbasi
- Omair Abbasi
- Abbey Manor Retirement Residence
- Abc Dental
- Abc Nurse Registry, Inc.
- Noureldin Mohamed Abdelhamid
- Haneen Yasin Abdella
- Faheema Abdool-Ghany
- Yasmeen Abdulrazzak
- Grethchen L Abdulreda
All providers in Hollywood, FL · Obstetrics & Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.