Dr Luis Enrique Carrillo, MD in Bartow, FL - Preventive Medicine

Dr Luis Enrique Carrillo, MD is a Preventive Medicine - Undersea And Hyperbaric Medicine physician based in Bartow, Florida. Dr Luis Enrique Carrillo is licensed to practice in Florida (license number ME16832) and his current practice location is 2200 Osprey Blvd, Ste 103, Bartow, Florida. He can be reached at his office (for appointments etc.) via phone at (863) 534-8436.

NPI number for Dr Luis Enrique Carrillo is 1598769119 and his current mailing address is Po Box 7097, Lakeland, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598769119.

Contact Information

	Dr Luis Enrique Carrillo, MD
	2200 Osprey Blvd, Ste 103, Bartow, FL 33830-3308
	(863) 534-8436
	(863) 534-8005

Physician's Profile

Full Name	Dr Luis Enrique Carrillo
Gender	Male
Speciality	Preventive Medicine - Undersea And Hyperbaric Medicine
Location	2200 Osprey Blvd, Bartow, Florida
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1598769119
Provider Enumeration Date: 06/10/2005
Last Update Date: 11/06/2015

Medical Identifiers

Medical identifiers for Dr Luis Enrique Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598769119	NPI	-	NPPES
53408Z	Other	FL	BCBS
050395900	Medicaid	FL
53408	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	ME16832 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Enrique Carrillo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Luis Enrique Carrillo, MD Po Box 7097, Lakeland, FL 33807-7097 Ph: (863) 534-8436	Dr Luis Enrique Carrillo, MD 2200 Osprey Blvd, Ste 103, Bartow, FL 33830-3308 Ph: (863) 534-8436

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Dr Luis Enrique Carrillo, MD - Preventive Medicine in Bartow, FL