Organization
GUILLERMO CASTELLVI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO O. CASTELLVI MD (OWNER)
(813) 196-9900
Entity
Organization
Contact information
Practice address
11033 COUNTRYWAY BLVD, TAMPA, FL 33626-2628
(813) 196-9900
(813) 496-9920
Mailing address
PO BOX 320502, TAMPA, FL 33679-2502
(813) 496-9900
(813) 496-9920
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME44641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259319000
—
FL
Enumeration date
11/04/2015
Last updated
05/26/2016
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