Organization
MICHELLE CARRILLO-MASSA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARRILLO-MASSA M.D. (OWNER/MEDICAL DOCTOR)
(561) 385-7591
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD, SUITE D127, PALM BEACH GARDENS, FL 33410-3446
(561) 627-0990
(561) 625-0248
Mailing address
1383 DAKOTA DR, JUPITER, FL 33458-8407
(561) 385-7591
(561) 625-0248
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME115891
FL
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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