# HECTOR L DI CARLO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598146474
- **Authorized official:** DR. HECTOR LUIS DI CARLO MD (PRESIDENT)
- **Authorized official phone:** (954) 533-1173

## Contact information

- **Practice address:** 1321 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-1837
- **Practice address phone:** (954) 533-1173
- **Practice address fax:** (954) 533-0723
- **Mailing address:** 1321 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-1837
- **Mailing address phone:** (954) 533-1173
- **Mailing address fax:** (964) 533-0723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME102570 | FL | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 07/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011234400 | — | FL |