Organization
CARDIOHEALTH LLC
Active
Organization
CARDIOHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON CASTELLO MD (OWNER)
(904) 315-4438
Entity
Organization
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 104, JACKSONVILLE, FL 32216-4252
(904) 315-4438
(904) 619-5890
Mailing address
3599 UNIVERSITY BLVD, SUITE 104, JACKSONVILLE, FL 32216
(904) 315-4438
(904) 619-5890
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME81457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51807Y
MEDICARE PTAN
FL
Enumeration date
11/19/2014
Last updated
11/21/2014
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