# RENEWAL WELLNESS CENTER

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

## Provider details

- **NPI number:** 1295222677
- **Authorized official:** FAUSTO CASTILLO MD (PRESIDENT)
- **Authorized official phone:** (305) 582-5735

## Contact information

- **Practice address:** 815 NW 57TH AVE STE 305B, MIAMI, FL 33126-2042
- **Practice address phone:** (786) 508-6431
- **Mailing address:** 815 NW 57TH AVE STE 305B, MIAMI, FL 33126-2042
- **Mailing address phone:** (786) 508-6431

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018