Individual
JUAN JOSE CASTILLO VILLAMIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
5530 JONQUIL LN APT 306, NAPLES, FL 34109-2691
(754) 236-0805
Mailing address
5530 JONQUIL LN APT 306, NAPLES, FL 34109-2691
(754) 236-0805
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-145
FL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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