Organization
RENEWAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTO CASTILLO MD (PRESIDENT)
(305) 582-5735
Entity
Organization
Contact information
Practice address
815 NW 57TH AVE STE 305B, MIAMI, FL 33126-2042
(786) 508-6431
Mailing address
815 NW 57TH AVE STE 305B, MIAMI, FL 33126-2042
(786) 508-6431
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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