| Vivian Bilasano Md Llc | |
|
17913 Nw 7th St Ste 101 Pembroke Pines FL 33029-2811 | |
| (954) 320-7999 | |
| (954) 320-7601 |
| Full Name | Vivian Bilasano Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17913 Nw 7th St Ste 101, Pembroke Pines, Florida |
| Authorized Official Name and Position | Vivian Bilasano (MD) |
| Authorized Official Contact | 3055025272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Bilasano Md Llc 17913 Nw 7th St Ste 101 Pembroke Pines FL 33029-2811 Ph: (954) 320-7999 | Vivian Bilasano Md Llc 17913 Nw 7th St Ste 101 Pembroke Pines FL 33029-2811 Ph: (954) 320-7999 |
| NPI Number | 1639559750 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 03/13/2026 |
| Medicare PECOS PAC ID | 3779890900 |
|---|---|
| Medicare Enrollment ID | O20150921000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639559750 | NPI | - | NPPES |
| 257505100 | Medicaid | FL | |
| 1821002825 | Other | NPI | |
| 1316140262 | Other | FL | NPI |
| 001237900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 77619 (Florida) | Primary |
| Provider Name | Vivian Blanquisco Bilasano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821002825 PECOS PAC ID: 0749357812 Enrollment ID: I20080916000468 |
| Provider Name | Jorge Konopka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316140262 PECOS PAC ID: 7416094016 Enrollment ID: I20091030000596 |
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