Carrillo, Eddy Herbert
Carrillo, Eddy Herbert is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 600 , Hollywood FL 33021-5431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Carrillo, Eddy Herbert can be contacted via phone (954) 265-5969.Contact Information
Primary practice address
1150 N 35Th Ave Ste 600
Hollywood FL 33021-5431
Phone: (954) 265-5969
Fax: (954) 965-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME60243 | Florida |
Profile Details
| NPI number | 1548207681 |
|---|---|
| LBN Legal business name | Carrillo, Eddy Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Mar 17th, 2021 - about 5 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 | 1548207681 | NPPES |
| Florida | MEDICAID | 26220800 |
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