Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kandy Carrillo, PA

Individual provider Physician Assistant · NPI 1396060034

MS. Kandy Carrillo, PA is a Physician Assistant in Miami Gardens, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

21301 NW 2nd Ave
Miami Gardens, FL 33169-2112
Phone: (305) 947-4499
Fax: (786) 657-2623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105235 (FL)

Record details

NPI number1396060034
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 6, 2010
Last updated in NPPESJuly 15, 2016
Mailing address1145 Ne 133rd St, North Miami, FL 33161-4250

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