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DR. LUIS ENRIQUE CARRILLO MD NPI 1598769119


NPI Information

NPI: 1598769119
Provider Name: DR. LUIS ENRIQUE CARRILLO, MD
Classification: Preventive Medicine - 2083P0011X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

Address:
2200 OSPREY BLVD
STE 103
BARTOW, FL
ZIP 33830
Phone: (863) 534-8436
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DR. Luis Enrique Carrillo, MD is an undersea and hyperbaric medicine preventive medicine in Bartow, FL. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Luis Enrique Carrillo, MD NPI is 1598769119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 OSPREY BLVD
STE 103
BARTOW, FL
ZIP 33830-308
Phone: (863) 534-8436
Fax: (863) 534-8005

The enumeration date for this NPI number is 6/10/2005 and was last updated on 11/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineME16832FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153408OTHERFLORIDABCBS
253408ZOTHERFLORIDABCBS
3D64478MEDICARE UPIN
4D64478MEDICARE UPINFLORIDA
5050395900MEDICAIDFLORIDA
653408ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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