Organization
CARRILLO SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CARRILLO (R.N.)
(321) 268-0720
Entity
Organization
Contact information
Practice address
1311 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0720
(321) 383-7596
Mailing address
1311 GARDEN ST, TITUSVILLE, FL 32796-3312
(321) 268-0720
(321) 383-7596
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
08/18/2014
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