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:
Health care specialties
Specialty | Code | License # | 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 9 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 | 1598769119 | NPPES |
Florida | Other | 53408Z | BCBS |
Florida | MEDICAID | 050395900 | BCBS |
Florida | Other | 53408 | BCBS |
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