Organization
DORAL BEACH OB/GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN E CASTILLO M.D (PRESIDENT)
(305) 532-1989
Entity
Organization
Contact information
Practice address
4302 ALTON RD, SUITE #580, MIAMI BEACH, FL 33140-2891
(305) 532-1989
(305) 532-8459
Mailing address
4302 ALTON RD, SUITE #580, MIAMI BEACH, FL 33140-2891
(305) 532-1989
(305) 532-8459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME27923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374543100
—
FL
01
—
K6220
MEDICARE ID
FL
Enumeration date
07/19/2011
Last updated
07/19/2011
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