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Individual
JOSE V CASTELLANOS
Active
Individual
JOSE V CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 74832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42719Y
MEDICARE
FL
Enumeration date
06/22/2006
Last updated
12/14/2010
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