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:
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