| Dr. Joseph L Carrasco, LLC | |
|
26540 Ace Ave Ste A Leesburg FL 34748-8279 | |
| (352) 307-6278 | |
| (407) 627-0205 |
| Full Name | Dr. Joseph L Carrasco, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 26540 Ace Ave Ste A, Leesburg, Florida |
| Authorized Official Name and Position | Joseph Louis Carrasco (OWNER) |
| Authorized Official Contact | 3523076278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joseph L Carrasco, LLC 26540 Ace Ave Ste A Leesburg FL 34748-8279 Ph: (352) 307-6278 | Dr. Joseph L Carrasco, LLC 26540 Ace Ave Ste A Leesburg FL 34748-8279 Ph: (352) 307-6278 |
| NPI Number | 1700726213 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 04/01/2026 |
| Certification Date | 04/01/2026 |
| Medicare PECOS PAC ID | 3072082254 |
|---|---|
| Medicare Enrollment ID | O20260518000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700726213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joseph L Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174610067 PECOS PAC ID: 8224112719 Enrollment ID: I20080222000297 |
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