Individual
DANIEL PATRICIO CARRILLO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
4830 NW 43RD ST APT F83, GAINESVILLE, FL 32606-4404
(801) 637-7399
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122980000
—
FL
Enumeration date
06/27/2024
Last updated
09/05/2024
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