Individual
CARLOS A ZUBILLAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4821 US HWY 19, SUITE 1, NEW PORT RICHEY, FL 34652
(727) 849-2005
(727) 849-2087
Mailing address
PO BOX 10014, ELFERS, FL 34680
(727) 849-2005
(727) 849-2087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0028789
FL
2084N0400X
Neurology Physician
Primary
ME0028789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057918100
—
FL
Enumeration date
06/28/2006
Last updated
01/07/2009
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