Individual
DR. EDGARDO CASTILLO-NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 LEE BLVD, SUITE 1600, LEHIGH ACRES, FL 33936-4893
(239) 368-7310
(239) 368-7312
Mailing address
1530 LEE BLVD STE 1400, LEHIGH ACRES, FL 33936-4887
(239) 368-7310
(239) 368-7312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26,410-R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112016700
—
FL
Enumeration date
04/08/2008
Last updated
01/04/2023
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