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Contact Information

VIVIAN BILASANO, MD
17913 NW 7TH ST STE 101
PEMBROKE PINES, FL33029-2811
 Phone: 954-320-7999
 Fax: 954-320-7601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VIVIAN BILASANO · (Female)

NPI # 1821002825
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME 77619
  • FL License # ME77619
  • FL Medicaid 257505100
  • Other ME 77619 FL LICENSE
  • FL Other 49944 MEDICARE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL MIRAMAR - (Acute Care)
    1901 SW 172ND AVE
    MIRAMAR, FL 33029
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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