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Organization
GIANNIE CASTELLANOS OD PA
Active
Organization
GIANNIE CASTELLANOS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNIE CASTELLANOS OD (OD/OWNER)
(305) 364-3737
Entity
Organization
Contact information
Practice address
8060 NW 155TH ST, STE 201, MIAMI LAKES, FL 33016-5883
(305) 364-3737
(305) 364-3737
Mailing address
8221 DUNDEE TER, MIAMI LAKES, FL 33016-1410
(305) 364-3737
(305) 364-3737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407267818
—
FL
Enumeration date
05/20/2014
Last updated
03/20/2024
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