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NPI Code Detail

MEDICARE: DR. CARLOS E ALOSILLA MD

MEDICARE:  DR. CARLOS E ALOSILLA  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
1207RC0000XCardiovascular Disease PhysicianME32572FL
2207RC0000XCardiovascular Disease Physician027154GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100727OTHERFLAVMED
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40920201OTHERFLAETNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
615564OTHERFLBCBS
7946522OTHERGABCBS

General Provider Information

NPI Number : 1225031438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS E ALOSILLA MD
Provider Business Mailing Address
First Line : 1824 KING STREET
Second Line : SUITE 300
City : JACKSONVILLE
State : FL
Zip : 32204-4736
Country : US
Telephone Number : 904-388-1820
Fax Number : 904-388-1827
Provider Business Practice Location Address
First Line : 1824 KING STREET
Second Line : SUITE 300
City : JACKSONVILLE
State : FL
Zip : 32204-4736
Country : US
Telephone Number : 904-388-1820
Fax Number : 904-388-1827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/04/2014

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Directions to “ DR. CARLOS E ALOSILLA MD” Practice Location

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