Organization
ANGEL CARRASCO, M.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL CARRASCO M.D.P,A. (PRESIDENT)
(305) 266-0222
Entity
Organization
Contact information
Practice address
7200 NW 7TH ST, SUITE 206, MIAMI, FL 33126
(305) 266-0222
(305) 266-0848
Mailing address
7200 NW 7TH ST, SUITE 206, MIAMI, FL 33126
(305) 266-0222
(305) 266-0848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2251N0400X
Neurology Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265050900
—
FL
Enumeration date
08/21/2007
Last updated
07/30/2009
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