LUIS EDUARDO CARRILLO (NPI# 1821092370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821092370 |
| Entity Type | Individual |
| Full Name | LUIS EDUARDO CARRILLO |
| Credential | M.D. |
| Practice Address |
130 Pablo St Lakeland FL 33803-3818 |
| Mailing Address |
1324 Lakeland Hills Blvd Attn Medical Staff Office Lakeland FL 33805-4543 |
| Practice Telephone | 8632845941 |
| Mailing Telephone | 8632841611 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME73042 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME73042 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 252921100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769119 | Luis Enrique Carrillo | Preventive Medicine | 2200 Osprey Blvd, Ste 103, Bartow, FL 33830-3308 | 2005-06-10 |
| 1083617658 | Luis Fernando Carrillo | Nurse Practitioner | 6538 N Kerby Ave, Portland, OR 97217-1939 | 2005-05-27 |
| 1194226480 | Luis Carrillo | Technician | 2780 S Jones Blvd Ste 105b, Las Vegas, NV 89146-5628 | 2018-02-22 |
| 1215315239 | Luis Carrillo | Counselor | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2015-05-11 |
| 1952741621 | Luis Felipe Carrillo | Pathology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-06-26 |
| Street Address |
130 PABLO ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810672 | Andrea Beale | Nurse Practitioner | 130 Pablo St, Lakeland, FL 33803-3818 | 2005-06-10 |
| 1740804673 | Brian Win | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2020-06-06 |
| 1285284216 | Sandra Baffoe-bonnie | Nurse Practitioner | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-09-11 |
| 1215586458 | Jillian Railey | Nurse Practitioner | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-09-10 |
| 1194384362 | Ellen Davis | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-06-11 |
| 1558827592 | Rebecca N Levine | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-02-14 |
| 1124594007 | Rany Najeh Ahmad | Nurse Practitioner | 130 Pablo St, Lakeland, FL 33803-3818 | 2018-10-18 |
| 1093224206 | Moezza Butler | Registered Nurse | 130 Pablo St, Lakeland, FL 33803-3818 | 2017-09-20 |
| 1679092050 | Jessica Polk | Internal Medicine | 130 Pablo St, Lakeland, FL 33803-3818 | 2017-09-16 |
| 1750803201 | Mary L Roy | Nurse Practitioner | 130 Pablo St, Lakeland, FL 33803-3818 | 2017-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1629364849 | Christopher Isaiah Jones | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2011-06-27 |
| 1508838368 | Kevin Browne Jr. | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 1407184377 | Sunil Kumar | Internal Medicine | 311 West Oak Street, Department of Cardiology, Kissimmee, FL 34741-2265 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUIS EDUARDO CARRILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.