Carrillo-Bislick, Raul Tadeo
Carrillo-Bislick, Raul Tadeo is an sole proprietor health care provider with primary practice located at 1970 Hospital View Way Ste 2 , Clermont FL 34711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Carrillo-Bislick, Raul Tadeo can be contacted via phone (352) 404-8072.Contact Information
Primary practice address
1970 Hospital View Way Ste 2
Clermont FL 34711
Phone: (352) 404-8072
Fax: (352) 404-8312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME87534 | Florida |
Profile Details
| NPI number | 1881686541 |
|---|---|
| LBN Legal business name | Carrillo-Bislick, Raul Tadeo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881686541 | NPPES |
| Florida | MEDICAID | 267028300 | |
| Florida | MEDICAID | 253650100 | |
| Florida | Other | 78798 |
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