Individual
CARLOS JAVIER MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME132605
FL
390200000X
Student in an Organized Health Care Education/Training Program
PGY.202402
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368818
—
LA
Enumeration date
07/24/2014
Last updated
10/01/2018
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