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General NPI Number Information
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NPI Number | 1700726213
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH L CARRASCO, LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 26540 ACE AVE STE A
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City | LEESBURG
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State | FL
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Zip | 34748-8279
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Country | US
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Telephone | 352-307-6278
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Fax | 407-627-0205
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Provider Business Mailing Address
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Address Line | 26540 ACE AVE STE A
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City | LEESBURG
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State | FL
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Zip | 34748-8279
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Country | US
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Telephone | 352-307-6278
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Fax | 407-627-0205
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH LOUIS CARRASCO
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Credential | MD
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Telephone | 352-307-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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