# CARLOS CESAR CASTILLO BASSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710556618
- **Gender:** Man
- **Credential:** APRN,FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 11012978 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 06/23/2021