Individual
DR. CARLOS JOSE CEBOLLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308
(850) 431-1155
(850) 431-6975
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
140844
FL
207R00000X
Internal Medicine Physician
19186
PR
207R00000X
Internal Medicine Physician
293845-1
NY
Other
Enumeration date
03/14/2013
Last updated
07/18/2019
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