Individual
MARIA FERNANDA CASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21260 OLEAN BLVD STE 204, PORT CHARLOTTE, FL 33952-6742
(941) 235-9361
(941) 235-9362
Mailing address
25097 OLYMPIA AVE, STE 206, PUNTA GORDA, FL 33950-3914
(540) 981-8280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME121783
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2009
Last updated
09/03/2019
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