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Individual

MANUEL J CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3100 SW 62ND AVE, NICKLAUS CHILDREN HOSPITAL, MIAMI, FL 33155-3009
(305) 662-8357
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 254-5920
(239) 254-5921

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94071
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME94071
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276190400
FL
Enumeration date
08/03/2006
Last updated
03/24/2021
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