Organization
CARLOS CASTANEDA PA
Active
Organization
CARLOS CASTANEDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS D CASTANEDA JR. PA-C (OWNER)
(786) 348-5505
Entity
Organization
Contact information
Practice address
3183 SW 24TH ST, MIAMI, FL 33145-3129
(786) 348-5505
Mailing address
3183 SW 24TH ST, MIAMI, FL 33145-3129
(786) 348-5505
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA9106247
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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