Carrillo, Jimmy Rafael
Carrillo, Jimmy Rafael is an sole proprietor health care provider with primary practice located at 3269 Highway 90 , Bonifay FL 32425-6001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carrillo, Jimmy Rafael can be contacted via phone (850) 547-9991.Contact Information
Primary practice address
3269 Highway 90
Bonifay FL 32425-6001
Phone: (850) 547-9991
Fax: (850) 547-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9106175 | Florida |
Profile Details
| NPI number | 1285910778 |
|---|---|
| LBN Legal business name | Carrillo, Jimmy Rafael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2011 |
| Last updated | Oct 27th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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