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Contact Information

MICHELLE CARRILLO MASSA, MD
401 MAPLEWOOD DR STE 6
JUPITER, FL33458
 Phone: 561-744-2724
 Fax: 561-743-7781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHELLE CARRILLO MASSA · (Female)

NPI Number 1215258256
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2010
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME115891
Hospital affiliation(s)
  • JUPITER MEDICAL CENTER - (Acute Care)
    1210 S OLD DIXIE HWY
    JUPITER, FL 33458
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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