Individual
DR. JOSE A. CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4250 PHILIPS HWY, JACKSONVILLE, FL 32207-6730
(786) 478-3554
Mailing address
12163 GRAND PINE DR, JACKSONVILLE, FL 32224-4435
(305) 205-5955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2849
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC2849
FL
152WP0200X
Pediatric Optometrist
OPC2849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620096600
—
FL
Enumeration date
07/20/2006
Last updated
01/22/2025
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