| Organization Name: | LUCILLE FRIAL-CARRASCO DOPA |
| NPI Number: | 1720392707 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCILLE FRIAL-CARRASCO (MEDICAL DOCTOR) |
| Mailing Address: | 7200 W Commercial Blvd Suite 201 Lauderhill |
| State: | FL US |
| Postal Code: | 333192148 |
| Phone Number: | 9545337614 |
| Fax Number: | 9545337714 |
| NPI Enumeration Date: | 08/02/2010 |
| NPI Last Update Date: | 08/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS7686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |