Individual
DR. ESTRELLA M CARBALLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1708 CAPE CORAL PKWY W, SUITE 10, CAPE CORAL, FL 33914-6985
(239) 541-4633
(239) 541-1825
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPT, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME104845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003834600
—
FL
Enumeration date
09/11/2007
Last updated
11/04/2016
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