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Organization
MICHELLE CARRILLO-MASSA MD LLC
Active
Organization
MICHELLE CARRILLO-MASSA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARRILLO-MASSA MD (OWNER)
(561) 385-7591
Entity
Organization
Contact information
Practice address
920 W INDIANTOWN RD, JUPITER, FL 33458-6847
(561) 385-7591
Mailing address
920 W INDIANTOWN RD, JUPITER, FL 33458-6847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME115891
FL
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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