Individual
MARISABEL HURTADO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21020 STATE ROAD 7 # 200C, BOCA RATON, FL 33428-1320
(561) 409-1071
(833) 408-6200
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME174323
FL
207RX0202X
Medical Oncology Physician
Primary
ME174323
FL
390200000X
Student in an Organized Health Care Education/Training Program
T6261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126902400
—
FL
Enumeration date
04/07/2019
Last updated
09/10/2025
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