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NPI Code Detail

MEDICARE: JAIME CARRIZOSA MD

MEDICARE: JAIME CARRIZOSA 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
1207RI0200XInfectious Disease PhysicianME0038333FL

Other Identifiers

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

General Provider Information

NPI Number : 1003815929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME CARRIZOSA MD
Provider Business Mailing Address
First Line : 685 PALM SPRINGS DR
Second Line : STE. 2A
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-7853
Country : US
Telephone Number : 407-830-5577
Fax Number : 407-830-4164
Provider Business Practice Location Address
First Line : 685 PALM SPRINGS DR
Second Line : STE. 2A
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-7853
Country : US
Telephone Number : 407-830-5577
Fax Number : 407-830-4164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 12/17/2009

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Directions to “ JAIME CARRIZOSA MD” Practice Location

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