BLAKE ERNESTO CARRILLO

MIAMI, FL
NPI1588098040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9107380)
Enumeration Date2013-09-02
Last Update Date2020-04-28
Business Address
BLAKE ERNESTO CARRILLO PA-C
14150 SW 136TH ST
MIAMI, FL 33186-5506
Phone number: 786-204-4600
Mailing Address
BLAKE ERNESTO CARRILLO PA-C
173 KINGS WAY
ROYAL PALM BEACH, FL 33411-1568
Phone number: 786-316-5665