Individual
DR. DAMIAN E CARABALLO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W MLK BLVD, TAMPA, FL 33607-6387
(813) 870-4000
Mailing address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707
(813) 874-5908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME106340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002475100
—
FL
01
—
148U3
BCBS FLORIDA
FL
Enumeration date
05/25/2007
Last updated
08/26/2020
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