Carrillo, Luis Eduardo

Carrillo, Luis Eduardo is an individual health care provider with primary practice located at 130 Pablo St , Lakeland FL 33803-3818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Carrillo, Luis Eduardo can be contacted via phone (863) 284-5941.

Contact Information

Primary practice address
130 Pablo St Lakeland FL 33803-3818
Phone: (863) 284-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME73042 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME73042 Florida

Profile Details

NPI number 1821092370
LBN Legal business name Carrillo, Luis Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 10th, 2014 - about 12 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 1821092370 NPPES
Florida MEDICAID 252921100

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