Carrillo, Luis Enrique

Carrillo, Luis Enrique is an sole proprietor health care provider with primary practice located at 2200 Osprey Blvd Ste 103, Bartow FL 33830-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Carrillo, Luis Enrique can be contacted via phone (863) 534-8436.

Contact Information

Primary practice address
2200 Osprey Blvd Ste 103 Bartow FL 33830-3308
Phone: (863) 534-8436
Fax: (863) 534-8005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME16832 Florida

Profile Details

NPI number 1598769119
LBN Legal business name Carrillo, Luis Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Nov 6th, 2015 - about 11 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 1598769119 NPPES
Florida Other 53408Z BCBS
Florida MEDICAID 050395900 BCBS
Florida Other 53408 BCBS

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