Individual provider · Type 1 NPI

Kandy Carrillo, PA

Physician Assistant · Miami Gardens, FL

NPI number 1396060034 Active

Practice location

21301 NW 2nd Ave
Miami Gardens, FL 33169-2112

Fax (786) 657-2623

Mailing address

1145 NE 133rd St
North Miami, FL 33161-4250

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9105235 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396060034

Kandy Carrillo, PA's National Provider Identifier is 1396060034, issued on Apr 6, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Miami Gardens, FL. The record was last updated on Jul 15, 2016.