Individual
JASMIN GRISEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1170 S SEMORAN BLVD, ORLANDO, FL 32807-1458
(407) 622-7246
(407) 599-7246
Mailing address
1170 S SEMORAN BLVD, ORLANDO, FL 32807-1458
(407) 622-7246
(407) 599-7246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102631
FL
363AM0700X
Medical Physician Assistant
Primary
PA
FL
Other
Enumeration date
08/11/2009
Last updated
07/01/2013
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