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Contact Information

WILBERT BECERRA CARBALLO
JACKSON SOUTH MEDICAL CENTER
9333 SW 152 ST
PALMETTO BAY, FL33157
 Phone: 305-256-5237
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for WILBERT BECERRA CARBALLO · (Male)

NPI Number 1457192486
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2024
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # HSE24381
Hospital affiliation(s) Not Available
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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