Individual
LUIS ALBERTO CARRASCOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4945 SW 49TH PL, OCALA, FL 34474-9673
(352) 237-9430
(352) 237-9698
Mailing address
PO BOX 102222, ATTN CREDENTIALING DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME99167
FL
2085R0203X
Therapeutic Radiology Physician
ME99167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014926721
—
FL
05
—
279135800
—
FL
Enumeration date
08/29/2006
Last updated
02/09/2026
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