Individual
DR. AUDRY CASTELLANOS-VIDAURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N FLAMINGO RD STE 311, PEMBROKE PINES, FL 33028-1010
(954) 435-3220
(954) 435-3667
Mailing address
3225 AVIATION AVE STE 700, COCONUT GROVE, FL 33133-4741
(954) 435-3220
(954) 435-3667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35088223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277668500
—
FL
01
—
35088223
LICENSE
OH
Enumeration date
09/13/2006
Last updated
12/06/2010
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