Provider Demographics
NPI:1124207154
Name:VILASUSO, JAVIER F (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:F
Last Name:VILASUSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 223190
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-3190
Mailing Address - Country:US
Mailing Address - Phone:059-745-5533
Mailing Address - Fax:059-745-5533
Practice Address - Street 1:8740 N KENDALL DR STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2221
Practice Address - Country:US
Practice Address - Phone:305-974-5533
Practice Address - Fax:305-974-5553
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2025-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME106794208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine