License Verification

Printer Friendly Version

KANDY CARRILLO

License Number: PA9105235

Data As Of 6/15/2025

Profession
Physician Assistant
License
PA9105235
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/05/2009
Address of Record
21301 NW 2 ND AVENUE
MIAMI, FL 33169
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
7858 NE 2nd Ave
MIAMI, FL 33138
Address
12800 NW 7th Ave
NORTH MIAMI, FL 33168
Address
266 West Hillsboro Blvd
DEERFIELD BEACH, FL 33441
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 6/15/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.