Individual
CARLOS CESAR CASTILLO BASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN,FNP
Contact information
Practice address
9331 SW 6TH LN, MIAMI, FL 33174-2270
(786) 234-8810
Mailing address
9331 SW 6TH LN, MIAMI, FL 33174-2270
(786) 234-8810
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11012978
FL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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