# GIANNIE CASTELLANOS OD PA

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

## Provider details

- **NPI number:** 1932851656
- **Authorized official:** GIANNIE MARIE CASTELLANOS (OWNER)
- **Authorized official phone:** (786) 251-5834

## Contact information

- **Practice address:** 12002 SW 128TH CT STE 102, MIAMI, FL 33186-4641
- **Practice address phone:** (305) 662-2990
- **Mailing address:** 8060 NW 155TH ST STE 201, MIAMI LAKES, FL 33016-5883
- **Mailing address phone:** (786) 251-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 03/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001425700 | — | FL |