Individual
MR. LIAN CASTILLO OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 395-7100
Mailing address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109264
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
01/20/2021
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