Organization
LIVING THE DREAM 63 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CASTILLO MD (OWNER/MANAGER)
(850) 264-5998
Entity
Organization
Contact information
Practice address
3182 DUNBAR LN, TALLAHASSEE, FL 32311-3362
(850) 264-5998
(850) 329-2195
Mailing address
3182 DUNBAR LN, TALLAHASSEE, FL 32311-3362
(850) 264-5998
(850) 329-2195
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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