MEDICARE: DR. EDDY HERBERT CARRILLO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician	ME60243	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548207681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDDY HERBERT CARRILLO MD

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY
Second Line	:	DOOR D
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	1150 N 35TH AVE STE 600
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5431
Country	:	US
Telephone Number	:	954-265-5969
Fax Number	:	954-965-3599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	03/17/2021

Similar Medicare Providers

1952421208 — DR. MOIZ MUSTAFA M.D.
Practice Location Address:

1150 N 35TH AVE STE 555
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-0072
Practice Fax: 954-981-0188

1154385789 — JONATHAN S ROBERTS MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-7900
Practice Fax: 954-276-0260

1134187701 — CHAO-WEN LEE MD
Practice Location Address:

1150 N 35TH AVE STE 605
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-7900
Practice Fax:

1710996749 — RAFAEL SANCHEZ MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-5969
Practice Fax: 954-965-3599

1356351076 — ANDREW ROSENTHAL MD
Practice Location Address:

1150 N 35TH AVE STE 600
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-5969
Practice Fax: 954-965-3599

1821191289 — OLIVER BENNETT LAO MD
Practice Location Address:

1150 N 35TH AVE STE 555
HOLLYWOOD, FL
33021-5431

Practice Phone: 954-265-0072
Practice Fax: 954-981-0188

Directions to “ DR. EDDY HERBERT CARRILLO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.