# MD SAMIR CASTELLON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAMIR CASTELLON
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104525443
- **Authorized official:** DR. SAMIR ALEXANDER CASTELLON CASTELLON II PHD, MD (OWNER/CEO)
- **Authorized official phone:** (305) 522-7217

## Contact information

- **Practice address:** 1141 SW 10TH ST REAR, MIAMI, FL 33130-3611
- **Practice address phone:** (305) 522-7217
- **Practice address fax:** (907) 313-1400
- **Mailing address:** 1141 SW 10TH ST REAR, MIAMI, FL 33130-3611
- **Mailing address phone:** (305) 522-7217
- **Mailing address fax:** (907) 313-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 03/15/2023