MICHELLE CARRILLO-MASSA
Medical Practice at Indiantown Rd, Jupiter, FL

License number
Florida 115891
Issued Date
Apr 26, 2013
Effective Date
Jan 7, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address
240 W Indiantown Rd SUITE 102, Jupiter, FL 33458
Phone
(561) 744-4272
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Michelle Carrillo-Massa, MD LLC

Jupiter, FL  -  West Palm Beach, FL

Registration:
Dec 29, 2014
Addresses:
920 W Indiantown Rd, Jupiter, FL 33458
5200 N Flagler Dr, West Palm Beach, FL 33407
State ID:
L14000195928
Business type:
Florida Limited Liability
Managers:
Michel D. Medore (President),Michelle Carrillo (Manager)
Agent:
Certified Medical Credentialing, Llc

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