Michelle Carrillo-Massa MD LLC
Family Medicine in Jupiter, FL. Organization (NPI-2).
NPI number1861880353
StatusActive
Last updated in NPPESJan 6, 2015
Details
- NPI
- 1861880353
- Entity type
- Organization (NPI-2)
- Legal business name
- Michelle Carrillo-Massa MD LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2015
- Last updated
- Jan 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME115891 | FL | Yes |
Practice location
920 W Indiantown RdJupiter, FL 33458-6847
Phone 561-385-7591
Mailing address
920 W Indiantown RdJupiter, FL 33458-6847
Authorized official
Michelle Carrillo-Massa
Owner
5613857591
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