Individual
ALEXANDER CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
162 NE 25TH ST STE 103, MIAMI, FL 33137-4852
(305) 735-8901
Mailing address
162 NE 25TH ST STE 103, MIAMI, FL 33137-4852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36841
FL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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