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Individual

DR. EDDY HERBERT CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 N 35TH AVE STE 600, HOLLYWOOD, FL 33021-5431
(954) 265-5969
(954) 965-3599
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME60243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26220800
FL
Enumeration date
05/31/2006
Last updated
03/17/2021
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