Raul E. Carballosa and Associatesmdspa

NPI #1821104613 in Punta Gorda, Florida

Provider Information

NPI Number: 1821104613
Entity Type: Organization
Organization Name: Raul E. Carballosa and Associatesmdspa
Primary Specialty: Specialist
Enumeration Date: Aug 22, 2006
Last Updated: Jan 14, 2008

Practice Location

Address: 310 DUPONT ST
City: Punta Gorda
State: Florida
ZIP Code: 33950-3810
Phone: (941) 639-4933

Authorized Official

Name: MRS. KAREN PARSON
Title: BILIING SECRETARY
Phone: (941) 639-4933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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