Individual
JUAN ANDRES AVILA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6821 SW 147TH AVE APT 2F, MIAMI, FL 33193-1002
(305) 951-6831
Mailing address
6821 SW 147TH AVE APT 2F, MIAMI, FL 33193-1002
(305) 951-6831
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-254
FL
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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