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Individual

CARLOS A ARCHILLA

Active
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Individual

CARLOS A ARCHILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78138
FL
207LP3000X
Pediatric Anesthesiology Physician
ME78138
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256508100
FL
01
46779Y
MEDICARE
Enumeration date
08/29/2006
Last updated
03/12/2013
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