Individual
DR. GUSTAVO A CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
570 HATFIELD DR, UMATILLA, FL 32784-8986
(352) 243-2724
(863) 353-6842
Mailing address
570 HATFIELD DR, UMATILLA, FL 32784-8986
(352) 729-9037
(352) 669-1015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245561893
GROUP NPI
FL
Enumeration date
05/18/2007
Last updated
04/28/2017
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