Organization · Type 2 NPI

Michelle Carrillo-Massa, M.d., P.a.

Primary Care Clinic/Center · Palm Beach Gardens, FL

NPI number 1477918969 Active

Practice location

11211 Prosperity Farms Rd, Suite D127
Palm Beach Gardens, FL 33410-3446

Fax (561) 625-0248

Mailing address

1383 Dakota Dr
Jupiter, FL 33458-8407

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME115891 (FL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1477918969

Michelle Carrillo-Massa, M.d., P.a.'s National Provider Identifier is 1477918969, issued on Dec 28, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Dec 28, 2015.