Individual
SAMUEL E CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
5966 SOUTH DIXIE HIGHWY SUITE 401, MIAMI, FL 33143-3241
(786) 453-2667
Mailing address
7323 SW 134TH PL, MIAMI, FL 33183-3241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116729
FL
405300000X
Prevention Professional
AL4728
FL
Other
Enumeration date
02/14/2017
Last updated
07/13/2023
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