Carrillo, Ricardo Carlo
Carrillo, Ricardo Carlo is an sole proprietor health care provider with primary practice located at 1993 Daniels Rd Ste 120 , Winter Garden FL 34787-4598. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Carrillo, Ricardo Carlo can be contacted via phone (407) 395-9335.Contact Information
Primary practice address
1993 Daniels Rd Ste 120
Winter Garden FL 34787-4598
Phone: (407) 395-9335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23339 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 1507 | Florida |
Profile Details
| NPI number | 1174979991 |
|---|---|
| LBN Legal business name | Carrillo, Ricardo Carlo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2016 |
| Last updated | Jan 11th, 2021 - about 3 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 | 1174979991 | NPPES |
| Florida | MEDICAID | 1174979991 |
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