Organization
JORGE J CARRILLO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J CARRILLO MD (PRESIDENT)
(561) 627-0990
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD, D127, PALM BEACH GARDENS, FL 33410-3446
(561) 627-0990
(561) 625-0248
Mailing address
11211 PROSPERITY FARMS RD, D127, PALM BEACH GARDENS, FL 33410-3446
(561) 627-0990
(561) 625-0248
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME37325
FL
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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