CARLOS CARRILLO

TAMPA, FL
NPI1043568017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-08-26
Last Update Date2012-08-26
Business Address
-- CARLOS CARRILLO
4202 W IDELL ST
TAMPA, FL 33614-2501
Phone number: 813-410-2769
Mailing Address
-- CARLOS CARRILLO
4202 W IDELL ST
TAMPA, FL 33614-2501
Phone number: 813-410-2769