Provider Demographics
NPI:1235261397
Name:VINCENT A. BILELLO DC PA
Entity Type:Organization
Organization Name:VINCENT A. BILELLO DC PA
Other - Org Name:TOWN HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BILELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-746-9600
Mailing Address - Street 1:3801 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 501
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6332
Mailing Address - Country:US
Mailing Address - Phone:954-746-9600
Mailing Address - Fax:954-746-0506
Practice Address - Street 1:1440 CORAL RIDGE DR
Practice Address - Street 2:#308
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-5433
Practice Address - Country:US
Practice Address - Phone:954-746-9600
Practice Address - Fax:954-746-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT95191Medicare UPIN