CARRILLO SURGICAL ASSOCIATES LLC – Surgery Physician, NPI 1104871102

CARRILLO SURGICAL ASSOCIATES LLC is a healthcare provider. based in Titusville, Florida. specializing in Surgery Physician. The NPI Number for CARRILLO SURGICAL ASSOCIATES LLC is 1104871102

Main info

Organization
Name
CARRILLO SURGICAL ASSOCIATES LLC
NPI
1104871102
Phone
(321) 268-0720
Address
1311 GARDEN ST
Authorized Official
TINA CARRILLO R.N.
Enumeration Date
24 May 2006
Last Update Date
18 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for CARRILLO SURGICAL ASSOCIATES LLC

  • 1311, Garden Street, Titusville, Brevard County, Florida, 32796, United States

    TITUSVILLE, FL 327963312

    Phone: (321) 268-0720

    Fax: (321) 383-7596

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32796)

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Reviews

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Frequently asked questions

How is CARRILLO SURGICAL ASSOCIATES LLC identified in CMS data?
CMS-hosted NPPES data lists CARRILLO SURGICAL ASSOCIATES LLC with NPI 1104871102.
Is CARRILLO SURGICAL ASSOCIATES LLC still practicing?
CARRILLO SURGICAL ASSOCIATES LLC is currently listed as active in the public NPI registry.
What healthcare role does CARRILLO SURGICAL ASSOCIATES LLC hold?
Scheduling teams often label CARRILLO SURGICAL ASSOCIATES LLC under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is CARRILLO SURGICAL ASSOCIATES LLC based?
CARRILLO SURGICAL ASSOCIATES LLC is tied to Titusville, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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