Organization
CASTELLON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES CASTELLON (PRESIDENT)
(305) 431-6315
Entity
Organization
Contact information
Practice address
16371 NW 67TH AVE, MIAMI LAKES, FL 33014-6044
(786) 332-4991
(786) 409-2037
Mailing address
16371 NW 67TH AVE, MIAMI LAKES, FL 33014-6044
(786) 332-4991
(786) 409-2037
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME90692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780666750
1780666750
FL
01
—
1902275183
NPI
FL
Enumeration date
06/07/2016
Last updated
06/07/2016
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