Individual
BREEANA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 N MAITLAND AVE STE 290, MAITLAND, FL 32751-4761
(850) 220-9293
Mailing address
341 N MAITLAND AVE STE 290, MAITLAND, FL 32751-4761
(850) 220-9293
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9473272
FL
Other
Enumeration date
04/12/2023
Last updated
05/14/2024
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