Individual provider · Type 1 NPI

Jordan Alexus Guido-Carrillo, PA-C

Physician Assistant · North Port, FL

NPI number 1649080748 Active

Practice location

18699 Tamiami Trl
North Port, FL 34287-7388

Fax (941) 429-3430

Mailing address

18669 Tamiami Trl, Ste B
North Port, FL 34287-7388

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9119859 (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 1649080748

Jordan Alexus Guido-Carrillo, PA-C's National Provider Identifier is 1649080748, issued on Jan 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Port, FL. The record was last updated on Jun 26, 2026.