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Organization
NATIVITY MEDICAL CENTER
Active
Organization
NATIVITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELSA CASTRO (ADMINISTRATOR)
(813) 689-0904
Entity
Organization
Contact information
Practice address
2931 STATE ROAD 60 E, VALRICO, FL 33594-3416
(813) 689-0904
(813) 689-7549
Mailing address
2931 STATE ROAD 60 E, VALRICO, FL 33594-3416
(813) 689-0904
(813) 689-7549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600474
—
FL
Enumeration date
11/23/2006
Last updated
08/22/2020
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