CARLOS CARRASQUILLO

PORT SAINT LUCIE, FL
NPI1588023832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: FL  SA13082)
Enumeration Date2016-02-15
Last Update Date2016-02-15
Business Address
CARLOS CARRASQUILLO
403 SE WALTON LAKES DR
PORT SAINT LUCIE, FL 34952-3487
Phone number: 772-464-3303
Mailing Address
CARLOS CARRASQUILLO
403 SE WALTON LAKES DR
PORT SAINT LUCIE, FL 34952-3487
Phone number: