Individual
DR. GUSTAVO L FERNANDEZ-CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-9161
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-9161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME76272
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME76272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME76272
LICENSE
FL
Enumeration date
05/26/2006
Last updated
02/08/2013
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