Individual
EMERITA R. CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9299 SW 152ND ST STE 206, PALMETTO BAY, FL 33157-1776
(646) 713-7451
Mailing address
9299 SW 152ND ST STE 206, PALMETTO BAY, FL 33157-1776
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME113043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006123200
—
FL
01
—
GY905Z
MEDICARE PTAN
FL
Enumeration date
05/03/2012
Last updated
11/17/2015
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