MEDICARE: AMY CARRILLO

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	133V00000X	Registered Dietitian	10687	FL

General Provider Information

NPI Number	:	1821885088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY CARRILLO

Provider Business Mailing Address
First Line	:	2315 AURELIUS DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9203
Country	:	US
Telephone Number	:	352-571-8431
Fax Number	:

Provider Business Practice Location Address
First Line	:	2315 AURELIUS DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9203
Country	:	US
Telephone Number	:	352-571-8431
Fax Number	:

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

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

Similar Medicare Providers

1740996693 — MELANIE C NELSON LCSW
Practice Location Address:

12966 EUCLID ST STE 110
GARDEN GROVE, CA
92840-9203

Practice Phone: 720-204-5760
Practice Fax:

1629759659 — JULIANA RESUELLO LABRADOR MSN-FNP
Practice Location Address:

12966 EUCLID ST STE 110
GARDEN GROVE, CA
92840-9203

Practice Phone: 720-204-5760
Practice Fax:

1982264438 — PAMELA LIMA DMD
Practice Location Address:

1620 AVALON RD STE 100
WINTER GARDEN, FL
34787-5694

Practice Phone: 407-573-6774
Practice Fax: 407-347-3918

1407792427 — GABRIELA DANIELLE GAGNO PA
Practice Location Address:

15815 SHADDOCK DR STE 130
WINTER GARDEN, FL
34787-5773

Practice Phone: 407-605-2321
Practice Fax: 407-671-4155

1740335389 — STEPHANIE ANN DURGIN LCSW
Practice Location Address:

13350 W COLONIAL DR STE 340
WINTER GARDEN, FL
34787-3977

Practice Phone: 407-654-4433
Practice Fax: 407-926-0209

1104762541 — KARAN S PATEL DMD PA
Practice Location Address:

7263 AVALON RD STE 121
WINTER GARDEN, FL
34787-5890

Practice Phone: 321-890-8222
Practice Fax:

Directions to “ AMY CARRILLO ” 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.