# HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC

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

## Provider details

- **NPI number:** 1639352214
- **Authorized official:** DR. JUAN CARLOS CASTANEDA D.O. (PRESIDENT)
- **Authorized official phone:** (386) 322-6882

## Contact information

- **Practice address:** 667 BEVILLE RD STE B, SOUTH DAYTONA, FL 32119-1955
- **Practice address phone:** (386) 322-6882
- **Practice address fax:** (386) 322-6848
- **Mailing address:** 667 BEVILLE RD STE B, SOUTH DAYTONA, FL 32119-1955
- **Mailing address phone:** (386) 322-6882
- **Mailing address fax:** (386) 322-6848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | OS59696 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 11/12/2018