Individual
CARLOS A ARCHILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 650-7715
(407) 650-7724
Mailing address
1717 S ORANGE AVE, STE 100, ORLANDO, FL 32806-2944
(407) 650-7715
(407) 650-7124
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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