Provider Demographics
NPI:1013394162
Name:PADILLA, AILEEN HILARIO (DO)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:HILARIO
Last Name:PADILLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:GRACE
Other - Last Name:HILARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3033 WINKLER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-9522
Mailing Address - Country:US
Mailing Address - Phone:239-277-7070
Mailing Address - Fax:239-277-7071
Practice Address - Street 1:1090 W SOUTH BOUNDARY ST STE 600
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5249
Practice Address - Country:US
Practice Address - Phone:419-843-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10650400208100000X
390200000X
FLOS17154208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program