Daniel Patricio Carrillo Gonzalez, CAA | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 265-0111 | |
Not Available |
Full Name | Daniel Patricio Carrillo Gonzalez |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194560474 | NPI | - | NPPES |
122980000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA948 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Daniel Patricio Carrillo Gonzalez, CAA 4830 Nw 43rd St Apt F83, Gainesville, FL 32606-4404 Ph: (801) 637-7399 | Daniel Patricio Carrillo Gonzalez, CAA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-0111 |
David Andrew Hooper, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6575 Fax: 352-392-7029 | |
Michael John Provost, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
John Howes, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610 Phone: 352-273-8610 | |
Vineet Reddy, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Justin Shawn Piliego, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Morgan Landis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-265-0111 | |
Carey D Boudreau Jr., AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 |