Individual
MRS. BLANCA E. CASTELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6130 SW 46TH ST, MIAMI, FL 33155-6013
(305) 450-4495
Mailing address
6130 SW 46TH ST, MIAMI, FL 33155-6013
(305) 450-4495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3087952
FL
363LF0000X
Family Nurse Practitioner
Primary
11017801
FL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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