Individual
CARRIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 59TH ST W STE 5800, BRADENTON, FL 34209-4668
(941) 920-3615
Mailing address
2010 59TH ST W STE 5800, BRADENTON, FL 34209-4668
(941) 920-3615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN11011174
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11011174
FL
363LF0000X
Family Nurse Practitioner
APRN11011174
FL
Other
Enumeration date
03/15/2021
Last updated
02/05/2024
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