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Organization
NEURCOG MIAMI CORP
Active
Organization
NEURCOG MIAMI CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ANDRES CASTILLO ARNP (PRESIDENT/OWNER)
(786) 483-8381
Entity
Organization
Contact information
Practice address
1330 SW 22ND ST STE 209, MIAMI, FL 33145-2933
(786) 483-8381
(305) 503-5405
Mailing address
1330 SW 22ND ST STE 209, MIAMI, FL 33145-2933
(786) 483-8381
(305) 503-5405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9350825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020979600
—
FL
Enumeration date
01/30/2017
Last updated
03/23/2022
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