JESSICA E CARULLO MD - NPI 1124719422 - Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Jessica E Carullo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA E CARULLO MD (NPI 1124719422) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since May 2023. She maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1124719422

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA E CARULLOCredential: MD

Location Address51 PENNSYLVANIA STOrlando, FL 32806-2937

Mailing Address51 Pennsylvania StOrlando, FL 32806-2937 · (321) 843-3220 · Fax (321) 841-3210

Phone(321) 843-3220

Fax(321) 841-3210

Sole ProprietorYes

Enumeration DateMay 17, 2023

NPPES CertifiedMay 17, 2023

✔ NPI 1124719422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

51 PENNSYLVANIA ST, Orlando, FL 32806

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