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Individual

DR. DIONNE DOCILE CASTHELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(321) 872-8770
(321) 574-3815
Mailing address
2263 W NEW HAVEN AVE, #324, MELBOURNE, FL 32904-3805
(321) 872-8770
(321) 574-3815

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS11239
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104086644
PTAN FJ715Z
FL
Enumeration date
06/09/2008
Last updated
12/18/2013
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