Organization
HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS CASTANEDA D.O. (PRESIDENT)
(386) 322-6882
Entity
Organization
Contact information
Practice address
667 BEVILLE RD STE B, SOUTH DAYTONA, FL 32119-1955
(386) 322-6882
(386) 322-6848
Mailing address
667 BEVILLE RD STE B, SOUTH DAYTONA, FL 32119-1955
(386) 322-6882
(386) 322-6848
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
OS59696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001187400
—
FL
Enumeration date
12/06/2007
Last updated
11/12/2018
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