Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUAN CARABALLO
ActivePharmacist Clinician (PhC) · TITUSVILLE, FL
Registration Details
- NPI Number
- 1053800508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2018 (7.9522900037124 yrs)
- Last Updated
- May 9, 2018
- License
-
PS26148 (FL)
Practice Information
- Address
-
1021 S WASHINGTON AVETITUSVILLE, FL, 327808404Browse FL providers · Browse ZIP 32780
- Phone
- 3215677500
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.