Individual
MR. ISRAEL ELIAS CASTILLO SERULLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9470 LIVE OAK PL APT 109, DAVIE, FL 33324-4772
(954) 995-6062
Mailing address
9470 LIVE OAK PL APT 109, DAVIE, FL 33324-4772
(954) 995-6062
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-318
FL
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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