Raul Tadeo Carrillo-Bislick, M.D.
Internal Medicine, Pulmonary Disease in Clermont, FL. Individual provider (NPI-1).
NPI number1881686541
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1881686541
- Entity type
- Individual (NPI-1)
- Name
- Mr. Raul Tadeo Carrillo-Bislick
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | ME87534 | FL | Yes |
Other names
- Raul Carrillo (Professional Name)
Practice location
1970 Hospital View Way Ste 2Clermont, FL 34711
Phone 352-404-8072 · Fax 352-404-8312
Mailing address
1970 Hospital View Way Ste 2Clermont, FL 34711-1926
Phone 352-404-8072 · Fax 352-404-8312
Other practice locations
717 E Michigan St
Orlando, FL 32806-4645
Orlando, FL 32806-4645
Phone 407-515-8585 · Fax 407-515-8584
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