Individual
JONATHAN DE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM/AP, PTA, LMT.
Contact information
Practice address
21404 NE 3RD PATH, MIAMI, FL 33179-1000
(832) 605-4030
Mailing address
21404 NE 3RD PATH, MIAMI, FL 33179-1000
(832) 605-4030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60354
FL
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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