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Individual

JORGE G CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 SE OSCEOLA ST, SUITE 100, STUART, FL 34994-2301
(772) 288-5890
(772) 288-5840
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0066247
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375574600
FL
Enumeration date
02/22/2007
Last updated
10/09/2020
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