Individual
MR. MAX ANTHONY CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4602 N ARMENIA, SUITE A-1, TAMPA, FL 33603-2625
(813) 875-5480
(813) 875-5480
Mailing address
4602 N ARMENIA A-1, TAMPA, FL 33603-2625
(813) 875-5480
(813) 875-5480
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086031000
—
FL
Enumeration date
09/25/2006
Last updated
10/27/2011
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