Individual provider Active NPI

Emil V. Abdalla, DO

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
National Provider Identifier
1477532547
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS8233 Issued in FL
Practice address
1150 N 35TH Ave
#400
Hollywood, FL 33021-5424
Phone
(954) 963-6363
NPI assigned
Jan 17, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS8233 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
#400
Hollywood, FL 33021-5424

Mailing address

PO Box 452315
Sunrise, FL 33345-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000227 FL Practitioner - Obstetrics/Gynecology 1850388232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8921091786, 535 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2019 Accepting new patients
All Womens Healthcare of South Broward 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 Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1150 N 35th Ave
Ste 400
Hollywood, FL 33021
Phone (954) 602-9723

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

601 N Flamingo Rd
Ste 205
Pembroke Pnes, FL 33028
Phone (954) 431-1211

603 N Flamingo Rd
Ste 351
Pembroke Pnes, FL 33028
Phone (954) 430-3866

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1477532547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452315",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "#400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-963-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "EMIL",
        "middle_name": "V.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS8233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.