Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY RAFAEL CARRILLO, PA-C
Active Sole ProprietorJIMMY RAFAEL CARRILLO, PA-C is a Medical Physician Assistant healthcare provider located in BONIFAY, Florida. NPI 1285910778 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BONIFAY, FL
Registration Details
- NPI Number
- 1285910778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2011 (14.784478055431 yrs)
- Last Updated
- Oct 27, 2011
- License
-
PA9106175 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3269 HIGHWAY 90BONIFAY, FL, 324256001Browse FL providers · Browse ZIP 32425
- Phone
- 8505479991
- Fax
- 8505479992
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BONIFAY, FL
| Name | Credential | NPI |
|---|---|---|
| MR. MUHAMMAD ANEES | PA | 1356651848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.