# LIVING THE DREAM 63 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174104277
- **Authorized official:** DR. DAVID CASTILLO MD (OWNER/MANAGER)
- **Authorized official phone:** (850) 264-5998

## Contact information

- **Practice address:** 3182 DUNBAR LN, TALLAHASSEE, FL 32311-3362
- **Practice address phone:** (850) 264-5998
- **Practice address fax:** (850) 329-2195
- **Mailing address:** 3182 DUNBAR LN, TALLAHASSEE, FL 32311-3362
- **Mailing address phone:** (850) 264-5998
- **Mailing address fax:** (850) 329-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021