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1598769119
LUIS ENRIQUE CARRILLO
BARTOW, FL
NPI
1598769119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: FL ME16832)
Enumeration Date
2005-06-10
Last Update Date
2015-11-06
Business Address
Dr. LUIS ENRIQUE CARRILLO MD
2200 OSPREY BLVD STE 103
BARTOW, FL 33830-3308
Phone number: 863-534-8436
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Mailing Address
Dr. LUIS ENRIQUE CARRILLO MD
PO BOX 7097
LAKELAND, FL 33807-7097
Phone number: 863-534-8436
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