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Blake Carrillo, PA-C
NPI 1588098040 · on the registry since 2013
Practice
- Address
- 14150 Sw 136th St
Miami, FL 33186 - Phone
- (786) 204-4600
- Organisation at this address
- Pvl Associates Inc
Emergent Physicians Of Country Walk, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 14100 Sw 136th St, Miami, FL
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida