Carrillo, Carlos A.

Carrillo, Carlos A. is an individual health care provider with primary practice located at 4143 Sun N Lake Blvd , Sebring FL 33872-2131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carrillo, Carlos A. can be contacted via phone (863) 386-6480.

Contact Information

Primary practice address
4143 Sun N Lake Blvd Sebring FL 33872-2131
Phone: (863) 386-6480
Fax: (863) 386-6497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME66715 Florida

Profile Details

NPI number 1104853951
LBN Legal business name Carrillo, Carlos A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 4th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104853951 NPPES
Florida Other PENDING MEDICARE HF
Florida MEDICAID 376142800 MEDICARE HF

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