Carrillo Moya, Jorge Luis
Carrillo Moya, Jorge Luis is an individual health care provider with primary practice located at 1321 Nw 14Th St Bldg Suite505 , Miami FL 33125-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Carrillo Moya, Jorge Luis can be contacted via phone (305) 243-6704.Contact Information
Primary practice address
1321 Nw 14Th St Bldg Suite505
Miami FL 33125-1673
Phone: (305) 243-6704
Fax: (305) 243-6191
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | HSE36492 | Florida |
Profile Details
NPI number | 1114601192 |
---|---|
LBN Legal business name | Carrillo Moya, Jorge Luis |
Credentials | HSE |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2023 |
Last updated | Jun 12th, 2023 - about last year |
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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