Organization
BRISEIDA CASTA MD P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRISEIDA CASTA M.D (OWNER)
(954) 389-1064
Entity
Organization
Contact information
Practice address
2731 EXECUTIVE PARK DR, SUITE #3, WESTON, FL 33331-3657
(954) 389-1064
(954) 389-3541
Mailing address
2731 EXECUTIVE PARK DR, SUITE #3, WESTON, FL 33331-3657
(954) 389-1064
(954) 389-3541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME74512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255595600
—
FL
Enumeration date
11/25/2014
Last updated
11/25/2014
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