Provider Demographics
NPI:1154437002
Name:BIAGGI-LOMBARDI, VILMA B (MD)
Entity type:Individual
Prefix:MS
First Name:VILMA
Middle Name:B
Last Name:BIAGGI-LOMBARDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VILMA
Other - Middle Name:
Other - Last Name:BIAGGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:21355 EAST DIXIE HIGHWAY
Mailing Address - Street 2:SUITE 117
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-932-0282
Mailing Address - Fax:877-635-1453
Practice Address - Street 1:21355 EAST DIXIE HIGHWAY
Practice Address - Street 2:SUITE 117
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-932-0282
Practice Address - Fax:877-635-1453
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME432422085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96367Medicare PIN