MR. Fausto Roberto Carrasquillo, P.A.

NPI #1063737856 in The Villages, Florida

Provider Information

NPI Number: 1063737856
Entity Type: Individual
Name: MR. Fausto Roberto Carrasquillo, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Apr 5, 2010
Last Updated: Nov 16, 2022

Practice Location

Address: 1580 SANTA BARBARA BLVD
City: The Villages
State: Florida
ZIP Code: 32159-6827
Phone: (352) 259-2159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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