MEDICARE: JOSHUA MURILLO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		FL

General Provider Information

NPI Number	:	1972441236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MURILLO PA-C

Provider Business Mailing Address
First Line	:	PO BOX 100905
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-0905
Country	:	US
Telephone Number	:	786-662-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	15955 SW 96TH ST STE 401
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1273
Country	:	US
Telephone Number	:	786-467-3430
Fax Number	:	786-533-9695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	05/04/2026

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