Individual provider · Type 1 NPI

Luisali Rodriguez Carrasquillo, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1932855103 Active

Practice location

1660 Prudential Dr Ste 310
Jacksonville, FL 32207-8185

Call (904) 396-8656 Map

Fax (904) 390-7488

Mailing address

PO Box 746638
Atlanta, GA 30374-6638

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA9106350 (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 1932855103

Luisali Rodriguez Carrasquillo, PA-C's National Provider Identifier is 1932855103, issued on Feb 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 11, 2025.