Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Joseph Vaccarello, PA-C

Individual provider Physician Assistant · NPI 1467928598

Kevin Joseph Vaccarello, PA-C is a Physician Assistant in Sunrise, Florida. Qualified in 2018, 8 years ago. Practices with Solantic/South Florida LLC, a 27-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
8
Licensed in
CA, FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10251 W Commercial Blvd
Sunrise, FL 33351-4326
Phone: (954) 580-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2 Embarcadero Ctr, San Francisco, CA 94111-3823 — (888) 663-6331
  • 1205 N University Dr, Coral Springs, FL 33071-6620 — (954) 780-8134
  • 4450 N State Road 7 Ste 1, Coral Springs, FL 33073-3354 — (954) 633-1422
  • 1611 S Federal Hwy, Pompano Beach, FL 33062-7514 — (954) 580-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111495 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 67393 (CA)

Record details

NPI number1467928598
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2018
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Solantic/South Florida Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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