Dr Luis Enrique Carrillo, MD is a
Preventive Medicine - Undersea And Hyperbaric Medicine physician based in Bartow, Florida. Dr Luis Enrique Carrillo is licensed to practice in Florida (license number ME16832) and his current practice location is 2200 Osprey Blvd, Ste 103, Bartow, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 534-8436.
NPI number for Dr Luis Enrique Carrillo is 1598769119 and his current mailing address is Po Box 7097, Lakeland, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598769119.
Physician's Profile
| Full Name | Dr Luis Enrique Carrillo |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 2200 Osprey Blvd, Bartow, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598769119
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 11/06/2015
Medical Identifiers
Medical identifiers for Dr Luis Enrique Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598769119 | NPI | - | NPPES |
| 53408Z | Other | FL | BCBS |
| 050395900 | Medicaid | FL | |
| 53408 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME16832 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Enrique Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Luis Enrique Carrillo, MD
Po Box 7097,
Lakeland, FL 33807-7097
Ph: (863) 534-8436 | Dr Luis Enrique Carrillo, MD
2200 Osprey Blvd, Ste 103,
Bartow, FL 33830-3308
Ph: (863) 534-8436 |
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