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Contact Information

STEPHEN K BADOLATO, MD
6300 N WICKHAM RD
STE 101 -108
MELBOURNE, FL32940-2028
 Phone: 321-253-2169
 Fax: 321-253-1720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEPHEN K BADOLATO · (Male)

NPI Number 1194728832
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2005
Last updated 10/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME78710
Hospital affiliation(s)
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
  • WUESTHOFF MEDICAL CENTER ROCKLEDGE - (Acute Care)
    110 LONGWOOD AVE
    ROCKLEDGE, FL 32955
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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