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Organization
GIANNIE CASTELLANOS OD PA
Active
Organization
GIANNIE CASTELLANOS OD PA
Active
Other names
Eye candy eye wear
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNIE MARIE CASTELLANOS (OWNER)
(786) 251-5834
Entity
Organization
Contact information
Practice address
6807 MAIN ST, MIAMI LAKES, FL 33014-2047
(786) 717-7775
Mailing address
6807 MAIN ST, MIAMI LAKES, FL 33014-2047
(786) 251-5834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425700
—
FL
Enumeration date
09/20/2021
Last updated
03/20/2024
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