Provider Demographics
NPI:1316901986
Name:MURO CACHO, CARLOS A (MD, PHD, MBA)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:MURO CACHO
Suffix:
Gender:M
Credentials:MD, PHD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 BRUCE B DOWNS BLVD
Mailing Address - Street 2:PATHOLOGY AND LABORATORY MEDICINE SERVICE
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4745
Mailing Address - Country:US
Mailing Address - Phone:813-972-2000
Mailing Address - Fax:813-631-6742
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:PATHOLOGY AND LABORATORY MEDICINE SERVICE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-631-6742
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67054174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF89988Medicare UPIN