Individual
LEYDICEL CASTELLANO MARRERO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2004 DARLINGTON DR, TAMPA, FL 33619-5718
(813) 764-6023
Mailing address
2004 DARLINGTON DR, TAMPA, FL 33619-5718
(813) 764-6023
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-605
FL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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