IndividualActive
Videona Bautista, M.D.
NPI 1003992017 · Internal Medicine Physician · Ft. Lauderdale, FL
Provider details
- NPI number
- 1003992017
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME0029452 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1524 Se 3rd Ave.
Ft. Lauderdale, FL 33316-2502
Phone: (954) 763-6188
Fax: (951) 763-6199
Street-level locationGet directions
Mailing address
1524 Se 3rd Ave
Ft Lauderdale, FL 33316-2502
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2026-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.