Jimmy Rafael Carrillo, PA-C

NPI #1285910778 in Bonifay, Florida

Provider Information

NPI Number
1285910778
Entity Type
Individual
Name
Jimmy Rafael Carrillo, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 27, 2011
Last Updated
Oct 27, 2011

Practice Location

Address
3269 HIGHWAY 90
State
Florida
ZIP Code
32425-6001
Phone
(850) 547-9991

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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