Individual
MR. ANGEL M CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5960 NW 7TH ST, SUITE # C, MIAMI, FL 33126-3155
(305) 266-0222
(305) 266-0848
Mailing address
5960 NW 7TH ST, SUITE # C, MIAMI, FL 33126-2948
(305) 266-0222
(305) 266-0848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME82190
FL
2084N0400X
Neurology Physician
Primary
ME82190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04485
BC/BS
FL
05
—
265050900
—
FL
Enumeration date
07/11/2006
Last updated
03/26/2012
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