Carrillo, Jaime Orlando
Carrillo, Jaime Orlando is an individual health care provider with primary practice located at 708 Del Prado Blvd Suite 9, Cape Coral FL 33990-5616. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carrillo, Jaime Orlando can be contacted via phone (239) 574-5864.Contact Information
Primary practice address
708 Del Prado Blvd Suite 9
Cape Coral FL 33990-5616
Phone: (239) 574-5864
Fax: (239) 574-1451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME105800 | Florida |
Profile Details
| NPI number | 1780877977 |
|---|---|
| LBN Legal business name | Carrillo, Jaime Orlando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Nov 8th, 2010 - about 14 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 | 1780877977 | NPPES |
| Florida | Other | DQ952Z | MEDICARE PTAN |
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