MICHELLE CARRILLO-MASSA M.D. P.A. NPI 1477918969

NPI Information

NPI: 1477918969
Provider Name: MICHELLE CARRILLO-MASSA, M.D., P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11211 PROSPERITY FARMS RD
SUITE D127
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 627-0990
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MICHELLE CARRILLO-MASSA, M.D., P.A. is a primary care clinic center in Palm Beach Gardens, FL. MICHELLE CARRILLO-MASSA, M.D., P.A. NPI is 1477918969. The provider is registered as an organization entity type.

The provider's business location address is:

11211 PROSPERITY FARMS RD
SUITE D127
PALM BEACH GARDENS, FL
ZIP 33410-446
Phone: (561) 627-0990
Fax: (561) 625-0248

The provider's authorized official is Michelle Carrillo-massa .
The authorized official title is Owner/medical Doctor and has the following contact phone number (561) 385-7591.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/28/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME115891	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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