# GIANNIE CASTELLANOS OD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GIANNIE CASTELLANOS OD PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265165369
- **Legal business name:** GIANNIE CASTELLANOS OD PA
- **Authorized official:** GIANNIE MARIE CASTELLANOS OD (OPTOMETRIST)
- **Authorized official phone:** (786) 251-5834

## Contact information

- **Practice address:** 11099 SW 10TH ST PG 6 \#160, MIAMI, FL 33199-2516
- **Practice address phone:** (305) 364-3737
- **Mailing address:** 8060 NW 155TH ST STE 201, MIAMI LAKES, FL 33016-5883
- **Mailing address phone:** (305) 364-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 08/19/2024