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Organization
PEDRO L CARRILLO MD PA
Active
Organization
PEDRO L CARRILLO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO LUCIO CARRILLO MD (OWNER/PHYSICIAN)
(305) 824-1117
Entity
Organization
Contact information
Practice address
2140 W 68TH ST, 308, HIALEAH, FL 33016-1815
(305) 824-1117
(305) 824-1187
Mailing address
2140 W 68TH ST, 308, HIALEAH, FL 33016-1815
(305) 824-1117
(305) 824-1187
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52900
FL
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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